Dennis R Miller, Od

LBN: Dennis R Miller, Od
Dennis R Miller, Od is an health care organization with primary practice located at 101 W 18Th St , La Porte IN 46350-6631. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dennis R Miller, Od can be contacted via phone (219) 326-8855, or through Miller, Dennis R via phone (219) 326-8855.

Contact Information

Primary practice address
101 W 18Th St La Porte IN 46350-6631
Phone: (219) 326-8855
Fax: (219) 326-8855
Website:
Map and Directions
Authorized official contact:
Name: Miller, Dennis R
Phone: (219) 326-8855

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1245402882
LBN Legal business name Dennis R Miller, Od
DBA Doing business as
Authorized official Miller, Dennis R
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Oct 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245402882 NPPES
Indiana MEDICAID 200495330
Indiana MEDICAID 200495330A

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