Miller, Scott R
Miller, Scott R is an individual health care provider with primary practice located at 3100 Wilson Ave Sw , Grandville MI 49418-1200. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, Scott R can be contacted via phone (616) 534-8238.Contact Information
Primary practice address
3100 Wilson Ave Sw
Grandville MI 49418-1200
Phone: (616) 534-8238
Fax: (616) 534-4189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003770 | Michigan |
Profile Details
| NPI number | 1922079011 |
|---|---|
| LBN Legal business name | Miller, Scott R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2006 |
| Last updated | Dec 21st, 2007 - about 19 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 | 1922079011 | NPPES |
| Michigan | MEDICAID | 4074370 |
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