Individual
MR. THOMAS R MILLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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