Individual
MATTHEW ALLAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2020 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL 34655-3933
(727) 372-1311
(727) 373-7866
Mailing address
2020 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL 34655-3933
(727) 372-1311
(727) 373-7866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01180750
PALMETTO GBA RR MEDICARE PTAN
DE
Enumeration date
08/02/2009
Last updated
07/21/2022
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