Whalio Doctors

NPI 1144410176

Elicia Beth Miller, OD

Practitioner Optometrist South Charleston, WV

Practice location

Address
4030 Maccorkle Ave SW, South Charleston, WV 25309-1510
Phone
(304) 766-2220
Fax
(304) 766-0824

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1045-OD (WV)
Corneal and Contact Management Optometrist
Eye and Vision Services Providers Taxonomy 152WC0802X Licence 1045-OD (WV)

Registry record

NPI
1144410176
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Jul 2007
Record last updated
26 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.