Organization
MILLER OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MILLER (OPTICIAN)
(601) 428-0999
Entity
Organization
Contact information
Practice address
1020 ADAMS STREET, LAUREL, MS 39440
(601) 428-0999
(601) 426-9476
Mailing address
P O BOX 368, LAUREL, MS 39441
(601) 428-0999
(601) 426-9476
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089006
—
MS
Enumeration date
09/20/2006
Last updated
08/22/2020
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