Organization
DR. JOE E.MILLER II OPTOMETRIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE E. MILLER II O.D. (PRESIDENT)
(386) 846-8278
Entity
Organization
Contact information
Practice address
173 INTEGRA BREEZE LN, UNIT#103, DAYTONA BEACH, FL 32117-5589
(386) 846-8278
Mailing address
173 INTEGRA BREEZE LN, UNIT#103, DAYTONA BEACH, FL 32117-5589
(386) 846-8278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
935164
EYEMED
FL
Enumeration date
08/27/2009
Last updated
06/22/2012
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