Individual
MARK D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16865 CLOVER RD, NOBLESVILLE, IN 46060-3640
(317) 773-1981
(317) 773-1781
Mailing address
19905 WINDSOR PARK BLVD, WESTFIELD, IN 46074-4328
(175) 578-9873
(317) 773-1781
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8807
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
18002264
IN
Other
Enumeration date
09/01/2006
Last updated
10/25/2021
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