Individual
DR. TIMOTHY E. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3627 N WESTERN AVE, CHICAGO, IL 60618
(773) 525-2022
(773) 525-2024
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009824
IL
152W00000X
Optometrist
56006889
NY
152W00000X
Optometrist
OEG001984
PA
Other
Enumeration date
03/25/2008
Last updated
03/15/2023
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