Miller, Mary Sarah
Miller, Mary Sarah is an individual health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Miller, Mary Sarah can be contacted via phone (605) 347-2511.Contact Information
Primary practice address
113 Comanche Rd
Fort Meade SD 57741-1002
Phone: (605) 347-2511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 281 | Alaska |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3013 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 768 | South Dakota |
Profile Details
| NPI number | 1275789455 |
|---|---|
| LBN Legal business name | Miller, Mary Sarah |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2008 |
| Last updated | Mar 19th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275789455 | NPPES |
| Colorado | MEDICAID | 71600370 |
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