Provider Demographics
NPI:1528502408
Name:MILLMAN EYE ASSOCIATES LLC
Entity type:Organization
Organization Name:MILLMAN EYE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-366-1571
Mailing Address - Street 1:16 N MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3910
Mailing Address - Country:US
Mailing Address - Phone:973-366-1571
Mailing Address - Fax:973-366-1576
Practice Address - Street 1:16 N MORRIS ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-3910
Practice Address - Country:US
Practice Address - Phone:973-366-1571
Practice Address - Fax:973-366-1576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-12
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty