Dennis R Miller, Od

NPI #1245402882 in La Porte, Indiana

Provider Information

NPI Number: 1245402882
Entity Type: Organization
Organization Name: Dennis R Miller, Od
Primary Specialty: Optometrist
Enumeration Date: Mar 24, 2008
Last Updated: Oct 17, 2008

Practice Location

Address: 101 W 18TH ST
City: La Porte
State: Indiana
ZIP Code: 46350-6631
Phone: (219) 326-8855

Authorized Official

Name: DENNIS R MILLER
Title: OWNER
Phone: (219) 326-8855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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