Organization Name: | ERIC R. MILLER, OD, PC |
NPI Number: | 1407862840 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC R MILLER (OPTOMETRIST, PRESIDENT) |
Mailing Address: | 57 Jenners Village Center West Grove |
State: | PA US |
Postal Code: | 193909189 |
Phone Number: | 6108694200 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OEG000294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |