Organization
CHARLES E MILLER OD SC
Active
Other names
Eyecare Center of Marshfield
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E MILLER O.D. (OWNER)
(715) 387-6397
Entity
Organization
Contact information
Practice address
605 E 4TH ST, MARSHFIELD, WI 54449-4519
(715) 387-6397
(715) 384-6140
Mailing address
605 E 4TH ST, MARSHFIELD, WI 54449-4519
(715) 387-6397
(715) 384-6140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38705100
—
WI
Enumeration date
07/22/2006
Last updated
07/23/2009
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