Organization
MILLER EYE CENTER LTD
Active
Other names
Miller Eye Center Optical Dispensary
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A MILLER MD (PRESIDENT)
(815) 226-1500
Entity
Organization
Contact information
Practice address
2995 EASTROCK DR, ROCKFORD, IL 61109-1737
(815) 226-1500
(815) 484-9600
Mailing address
PO BOX 7267, ROCKFORD, IL 61126-7267
(815) 226-1500
(815) 484-9600
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
332H00000X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0462880001
DMERC
IL
Enumeration date
10/04/2006
Last updated
07/08/2011
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