Individual
BILLY D MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 N YORK ST, SUITE E, MUSKOGEE, OK 74403-3871
(918) 686-6446
(918) 686-6140
Mailing address
821 N YORK ST, SUITE E, MUSKOGEE, OK 74403-3871
(918) 686-6446
(918) 686-6140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1181
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100762510C
—
OK
Enumeration date
10/28/2005
Last updated
05/05/2011
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