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Individual

DR. DAVID MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
87 N. CROSS CNTY PKWY, SEARS OPTICAL, YONKERS, NY 10704
(914) 377-2168
(914) 709-1970
Mailing address
517 MARTLING AVE, TARRYTOWN, NY 10591-4718
(914) 767-0487
(914) 767-0488

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
270A00341300
NJ
152W00000X
Optometrist
OE004798L
PA
152W00000X
Optometrist
OPT 6512
CA
152W00000X
Optometrist
Primary
TUV003193
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00539033
NY
01
A300023278
MEDICARE PTAN #
NY
Enumeration date
12/01/2006
Last updated
03/07/2016
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