Individual
MR. THOMAS R MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11724 RETAIL DR., WAKE FOREST, NC 27587
(919) 562-5559
(919) 562-5563
Mailing address
11724 RETAIL DR., WAKE FOREST, NC 27587
(919) 562-5559
(919) 562-5563
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1802
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0929Y
NC HEALTHCHOICE
NC
01
—
2238815
UNITED HEALTH CARE
NC
05
—
890929Y
—
NC
Enumeration date
10/19/2006
Last updated
11/17/2023
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