Provider Demographics
NPI:1487877064
Name:MILLER AND MILLER, OD LTD
Entity type:Organization
Organization Name:MILLER AND MILLER, OD LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-737-3937
Mailing Address - Street 1:7901 W TROPICAL PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4549
Mailing Address - Country:US
Mailing Address - Phone:702-737-3937
Mailing Address - Fax:702-737-8860
Practice Address - Street 1:7901 W TROPICAL PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4549
Practice Address - Country:US
Practice Address - Phone:702-737-3937
Practice Address - Fax:702-737-8860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty