Individual
DR. JACOB ROY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5620 W THUNDERBIRD RD STE H3, GLENDALE, AZ 85306-4653
(602) 547-2002
(480) 990-7364
Mailing address
7245 E OSBORN RD STE 4, SCOTTSDALE, AZ 85251-6443
(480) 994-5012
(480) 990-7364
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1526
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1526
ARIZONA STATE BOARD OF OPTOMETRY
AZ
05
—
153713
—
AZ
Enumeration date
09/02/2006
Last updated
03/07/2023
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