Organization
SALLY S. MILLER O.D. P.A.
Active
Other names
Miller Vision Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA SICKMILLER (CPOT)
(336) 288-1919
Entity
Organization
Contact information
Practice address
2616 LAWNDALE DR STE A, GREENSBORO, NC 27408-4801
(336) 288-1919
Mailing address
2616 LAWNDALE DR, SUITE A, GREENSBORO, NC 27408-4800
(336) 288-1919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012W4
BLUE CROSS BLUE SHIELD
NC
05
—
89012W4
—
NC
Enumeration date
05/05/2006
Last updated
07/21/2022
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