Individual
DR. RICHARD E MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1371 TOWN CENTER DR, LAKELAND, FL 33803-7964
(863) 688-4001
(863) 413-0227
Mailing address
931 ASHTON OAKS CIR, LAKELAND, FL 33813-5658
(863) 513-3374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 0002686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911470
EYE MED
FL
Enumeration date
09/24/2006
Last updated
10/14/2020
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