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COREY JACKSON MILLER M.D. NPI 1538600762


NPI Information

NPI: 1538600762
Provider Name: COREY JACKSON MILLER, M.D.
Classification: Ophthalmology - 207WX0120X
Entity Type: Individual

Specialization: Cornea and External Diseases Specialist

PECOS Registration: Yes

Address:
1485 E 3900 S STE 103
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 277-1087
Get Directions

Corey Jackson Miller, M.D. is a cornea and external diseases specialist ophthalmology in Salt Lake City, UT with 7 years of experience. The provider is an ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. Corey Jackson Miller, M.D. NPI is 1538600762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1485 E 3900 S STE 103
SALT LAKE CITY, UT
ZIP 84124-464
Phone: (801) 277-1087
Fax: (801) 277-6742

The NPI 1538600762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 8/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology68839MINNESOTANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207WX0120XOphthalmologyCornea and External Diseases Specialist12770968-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.