Organization
ROBERT L. MILLER, OD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L MILLER OD (OWNER)
(330) 877-2117
Entity
Organization
Contact information
Practice address
500 S PROSPECT AVE, HARTVILLE, OH 44632-9403
(330) 877-2117
(330) 877-1617
Mailing address
500 S PROSPECT AVE, HARTVILLE, OH 44632-9403
(330) 877-2117
(330) 877-1617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111739
—
OH
Enumeration date
08/12/2006
Last updated
08/22/2020
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