Healthcare Provider Details

I. General information

NPI: 1417974411
Provider Name (Legal Business Name): NOE, MILLER & MILLER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W CHESTNUT ST
BUTLER MO
64730-1554
US

IV. Provider business mailing address

PO BOX 47
BUTLER MO
64730-0047
US

V. Phone/Fax

Practice location:
  • Phone: 660-679-3261
  • Fax:
Mailing address:
  • Phone: 660-679-3261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberT03277
License Number StateMO

VIII. Authorized Official

Name: DR. DAVID PAUL MILLER
Title or Position: DR./OWNER
Credential: O.D.
Phone: 660-679-3261