Individual
CAITLIN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 806-7200
(623) 806-7210
Mailing address
5865 W UTOPIA RD, GLENDALE, AZ 85308-5251
(623) 806-7200
(623) 806-7210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2086
AZ
152W00000X
Optometrist
OEG002910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35927
MEDICARE PTAN
PA
Enumeration date
07/15/2014
Last updated
04/20/2020
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