Individual
JOEL NEUMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2717 ROCK ISLAND PL, BISMARCK, ND 58504-7724
(701) 258-3402
Mailing address
1801 LONGLEY AVE, BISMARCK, ND 58501-2171
(701) 355-4782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
552
ND
152WC0802X
Corneal and Contact Management Optometrist
552
ND
152WL0500X
Low Vision Rehabilitation Optometrist
552
ND
152WP0200X
Pediatric Optometrist
552
ND
152WV0400X
Vision Therapy Optometrist
552
ND
152WX0102X
Occupational Vision Optometrist
552
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60498
—
ND
01
—
MEI30952
BLUE CROSS BLUE SHIELD OF ND
ND
01
—
N712435
MEDICARE PTAN
ND
01
—
P00717242
RAILROAD MEDICARE
ND
Enumeration date
12/05/2005
Last updated
07/06/2022
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