Miller, David A

Miller, David A is an individual health care provider with primary practice located at 2504 W 15Th Ave , Emporia KS 66801-6102. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, David A can be contacted via phone (620) 342-7054.

Contact Information

Primary practice address
2504 W 15Th Ave Emporia KS 66801-6102
Fax: (620) 342-8203
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1185-3 Kansas

Profile Details

NPI number 1891796991
LBN Legal business name Miller, David A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 4th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891796991 NPPES
Other 0279700001 CIGNA DMERC
MEDICAID 100218190B CIGNA DMERC

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