Healthcare Provider Details

I. General information

NPI: 1629024245
Provider Name (Legal Business Name): MILLER OPHTHALMOLOGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MILLER OPHTHALMOLOGY ASSOCIATES, LLC 16 SOUTH JEFFERS FIR 2
WHIPPANY NJ
07981-1047
US

IV. Provider business mailing address

MILLER OPHTHALMOLOGY ASSOCIATES, LLC 16 SOUTH JEFFERS FIR 2
WHIPPANY NJ
07981-1047
US

V. Phone/Fax

Practice location:
  • Phone: 973-325-3300
  • Fax: 973-325-3320
Mailing address:
  • Phone: 973-325-3300
  • Fax: 973-325-3320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: YVONNE GREENBERG
Title or Position: OFFICE MANAGER
Credential:
Phone: 973-325-3300