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NPI Code Detail

MEDICARE: DR. SUSAN HARRINGTON MILLER O.D.

MEDICARE: DR. SUSAN HARRINGTON MILLER O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristT03247MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
222386037OTHERMOBLUECROSSBLUESHIELD

General Provider Information

NPI Number : 1518933043
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN HARRINGTON MILLER O.D.
Provider Business Mailing Address
First Line : 204 W CHESTNUT ST
Second Line : PO BOX 47
City : BUTLER
State : MO
Zip : 64730-1554
Country : US
Telephone Number : 660-679-3261
Fax Number : 660-679-6213
Provider Business Practice Location Address
First Line : 204 W CHESTNUT ST
Second Line :
City : BUTLER
State : MO
Zip : 64730-1554
Country : US
Telephone Number : 660-679-3261
Fax Number : 660-679-6213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 09/08/2010

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