Organization
MATT MILLER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY L PAYNE (OFFICE MANAGER)
(817) 406-4362
Entity
Organization
Contact information
Practice address
3963 BOAT CLUB RD, FORT WORTH, TX 76135-3202
(817) 237-7153
(817) 237-7123
Mailing address
3963 BOAT CLUB RD, FORT WORTH, TX 76135-3202
(817) 237-7153
(817) 237-7123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/29/2011
Last updated
12/09/2011
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