Organization
TIMOTHY I MILLER O.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY I MILLER OD (OWNER)
(815) 433-1426
Entity
Organization
Contact information
Practice address
107 E. MCKINLEY RD., OTTAWA, IL 61350
(815) 433-1426
(815) 433-1446
Mailing address
107 E. MCKINLEY RD., OTTAWA, IL 61350
(815) 433-1426
(815) 433-1446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-006550
IL
Other
Enumeration date
11/04/2008
Last updated
12/01/2008
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