NPI 1881794485

Michael Eugene Miller, OD

Practitioner Optometrist Concordia, KS

Practice location

Address: 222 West 6th St, Concordia, KS 66901
Phone: (785) 243-3386
Fax: (785) 243-4640
Mailing address: PO Box 529, Concordia, KS 66901-0529

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence KS10273 (KS)

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Registry record

NPI: 1881794485
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2006
Record last updated: 18 Mar 2008

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.