Provider Demographics
NPI:1699715680
Name:MILLER, CHRISTOPHER J (OD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:MILLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S CENTRAL BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:561-745-6463
Mailing Address - Fax:561-748-3001
Practice Address - Street 1:250 S CENTRAL BLVD
Practice Address - Street 2:STE 107
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-745-6463
Practice Address - Fax:561-748-3001
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2723152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL620021400Medicaid
U33202Medicare UPIN
K7160Medicare ID - Type Unspecified