Miller, Wayne T

Miller, Wayne T is an sole proprietor health care provider with primary practice located at 292 State Route 375 , West Hurley NY 12491-5632. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, Wayne T can be contacted via phone (845) 679-0393.

Contact Information

Primary practice address
292 State Route 375 West Hurley NY 12491-5632
Phone: (845) 679-0393
Fax: (845) 679-0390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004438-1 New York

Profile Details

NPI number 1114913639
LBN Legal business name Miller, Wayne T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Feb 17th, 2008 - about 18 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 1114913639 NPPES
New York Other 10035673-6564 CDPHP-HMO
New York Other 906624 CDPHP-HMO

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