Organization
MILLER ARTIFICIAL EYE LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J. HUBBELL LICENSED OCULARIST (OCULARIST)
(419) 474-3939
Entity
Organization
Contact information
Practice address
3425 EXECUTIVE PKWY STE 108, TOLEDO, OH 43606-1333
(419) 474-3939
(419) 474-3939
Mailing address
3425 EXECUTIVE PKWY STE 108, TOLEDO, OH 43606-1333
(419) 474-3939
(419) 474-3939
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
3-O
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029779
ANTHEM BCBS ID
OH
05
—
0478648
—
OH
01
—
10170
PARAMOUNT ID
OH
01
—
54-0-C3-1003-0
BCBS ID
MI
05
—
861670586
—
MI
Enumeration date
07/26/2006
Last updated
04/09/2020
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