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Individual

ROBERT E MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5393 POST RD, EAST GREENWICH, RI 02818-3023
(401) 884-6066
(401) 885-2142
Mailing address
10 ORMS ST, SUITE 110, PROVIDENCE, RI 02904-2228
(401) 453-0666
(401) 453-9619

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODTA00309
RI
152W00000X
Optometrist
Primary
ODTG00610
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9009829
RI
Enumeration date
06/26/2006
Last updated
02/22/2023
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