Individual
SALLY S MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0327310001
DMERC SUPPLIER NUMBER
NC
01
—
09646
BCBS OF NC
NC
01
—
21942
PARTNERS
NC
01
—
2200500
UNITED HEALTH CARE
NC
01
—
410047496
RAILROAD
NC
01
—
66442
MEDCOST
NC
01
—
7854033
CIGNA
NC
05
—
8909646
—
NC
Enumeration date
12/02/2005
Last updated
07/29/2010
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