Individual
DR. ELICIA BETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4030 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1510
(304) 766-2220
(304) 766-0824
Mailing address
4030 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1510
(304) 766-2220
(304) 766-0824
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1045-OD
WV
152WC0802X
Corneal and Contact Management Optometrist
1045-OD
WV
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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