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NPI Code Detail

MEDICARE: DR. STEPHEN DOUGLAS MILLER O.D.

MEDICARE: DR. STEPHEN DOUGLAS 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
1152W00000XOptometrist18001782BIN
2152WC0802XCorneal and Contact Management Optometrist18001782BIN
3152WL0500XLow Vision Rehabilitation Optometrist18001782BIN
4152WP0200XPediatric Optometrist18001782BIN
5152WS0006XSports Vision Optometrist18001782BIN
6152WV0400XVision Therapy Optometrist18001782BIN
7152WX0102XOccupational Vision Optometrist18001782BIN

General Provider Information

NPI Number : 1205800307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN DOUGLAS MILLER O.D.
Provider Business Mailing Address
First Line : 1820 E 10TH ST
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-6016
Country : US
Telephone Number : 812-282-6311
Fax Number :
Provider Business Practice Location Address
First Line : 1820 E 10TH ST
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-6016
Country : US
Telephone Number : 812-282-6311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 01/20/2010

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