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Individual

AMY MARIE MILLER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
900 E MORTON PL, HEMET, CA 92543-4529
(951) 658-9409
(951) 658-2057
Mailing address
900 E MORTON PL, HEMET, CA 92543-4529
(951) 658-9409
(951) 658-2057

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT12648T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16682
MEDICAL EYE SERVICES ID#
CA
01
48726
HEALTHNET VISION ID#
CA
Enumeration date
10/27/2005
Last updated
07/08/2007
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