Organization
DR CHANI MILLER OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANI MILLER OD (OWNER/MEMBER)
(732) 993-1111
Entity
Organization
Contact information
Practice address
18 N 3RD AVE, HIGHLAND PARK, NJ 08904-2408
(732) 993-1111
(732) 993-1167
Mailing address
18 N 3RD AVE, HIGHLAND PARK, NJ 08904-2408
(732) 993-1111
(732) 993-1167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00523800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6511708
—
NJ
Enumeration date
01/21/2015
Last updated
01/21/2015
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