MEDICARE: ALEXUS MILLER OD

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
1	152W00000X	Optometrist	0618003508	VA

General Provider Information

NPI Number	:	1538055017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXUS MILLER OD

Provider Business Mailing Address
First Line	:	1020 TERRACE DR STE 100
Second Line	:
City	:	MARION
State	:	VA
Zip	:	24354-4392
Country	:	US
Telephone Number	:	276-783-5157
Fax Number	:

Provider Business Practice Location Address
First Line	:	2308 CEDAR VALLEY DR
Second Line	:
City	:	CEDAR BLUFF
State	:	VA
Zip	:	24609-9302
Country	:	US
Telephone Number	:	276-964-4171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2025
Last Update Date	:	06/13/2025

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