Provider Demographics
NPI:1740033885
Name:MILLER, BRET ALAN (OD)
Entity type:Individual
Prefix:DR
First Name:BRET
Middle Name:ALAN
Last Name:MILLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:
Practice Address - Street 1:4335 E 82ND ST STE 105
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-1699
Practice Address - Country:US
Practice Address - Phone:463-403-6439
Practice Address - Fax:463-249-2839
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18004481A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist