Organization
DR JACK D MILLER LTD
Active
Other names
Drs Miller and Miller
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK D MILLER JR. OD (OWNER)
(337) 457-5277
Entity
Organization
Contact information
Practice address
350 MOOSA BLVD, EUNICE, LA 70535-3626
(337) 457-5277
(337) 457-5271
Mailing address
350 MOOSA BLVD, EUNICE, LA 70535-3626
(337) 457-5277
(337) 457-5271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
941-084T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0289830001
CIGNA GOVERMENT SERVICES
LA
05
—
1340952
—
LA
01
—
2105B
BLUE CROSS BLUE SHIELDPIN
LA
Enumeration date
04/13/2007
Last updated
04/20/2017
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