Individual
DR. DAVID MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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