Organization
DR LARRY R MILLER ASSOC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY R MILLER (PRESIDENT)
(859) 296-5557
Entity
Organization
Contact information
Practice address
3650 BOSTON RD, STE 184, LEXINGTON, KY 40514-1569
(859) 296-5557
(859) 224-7766
Mailing address
3650 BOSTON RD, STE 184, LEXINGTON, KY 40514-1569
(859) 296-5557
(859) 224-7766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1116DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011161
—
KY
Enumeration date
05/23/2011
Last updated
05/26/2011
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