Individual
DR. ROBERT E MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13912 NE 20TH AVE, VANCOUVER, WA 98686-1465
(360) 574-6030
(360) 574-4116
Mailing address
13912 NE 20TH AVE, VANCOUVER, WA 98686-1465
(360) 574-6030
(360) 574-4116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001297
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000615187
MEDICARE ID
WA
05
—
2054609
—
WA
Enumeration date
11/15/2006
Last updated
04/07/2009
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