Individual
PETER NICHOLAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3618 SUNSET BLVD STE A, WEST COLUMBIA, SC 29169-3046
(803) 732-4099
(803) 227-8992
Mailing address
2038 LAKE MURRAY BLVD, COLUMBIA, SC 29212-0972
(561) 596-4708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2289
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D22893
—
SC
Enumeration date
07/26/2021
Last updated
04/10/2022
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