Provider Demographics
NPI:1932176955
Name:MILLER, RONALD TIMOTHY (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:TIMOTHY
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 1:3162 DOVES XING
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-5421
Mailing Address - Country:US
Mailing Address - Phone:330-644-1535
Mailing Address - Fax:
Practice Address - Street 1:3235 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-1400
Practice Address - Country:US
Practice Address - Phone:330-644-7138
Practice Address - Fax:330-645-1990
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4218152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist