Provider Demographics
NPI:1063190593
Name:MILLER EYE CARE AND SURGERY
Entity type:Organization
Organization Name:MILLER EYE CARE AND SURGERY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-467-0253
Mailing Address - Street 1:3540 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-0019
Mailing Address - Country:US
Mailing Address - Phone:580-467-0253
Mailing Address - Fax:580-255-2117
Practice Address - Street 1:1044 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4536
Practice Address - Country:US
Practice Address - Phone:580-255-2501
Practice Address - Fax:580-255-2117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty