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MILLER EYE CENTER LTD NPI 1619063013


NPI Information

NPI: 1619063013
Provider Name: MILLER EYE CENTER LTD

Doing Business As: MILLER EYE CENTER OPTICAL DISPENSARY

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 14D2065133

Address:
2995 EASTROCK DR
ROCKFORD, IL
ZIP 61109
Phone: (815) 226-1500
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MILLER EYE CENTER LTD is an eyewear supplier in Rockford, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MILLER EYE CENTER LTD NPI is 1619063013. The provider is registered as an organization entity type.
The provider Is Doing Business As Miller Eye Center Optical Dispensary.

The provider's business location address is:

2995 EASTROCK DR
ROCKFORD, IL
ZIP 61109-737
Phone: (815) 226-1500
Fax: (815) 484-9600

The provider's authorized official is Richard A Miller .
The authorized official title is President and has the following contact phone number (815) 226-1500.

The CLIA number assigned to this NPI record is 14D2065133 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/8/2011.


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
1332H00000XEyewear Supplier332H00000XILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10462880001MEDICARE NSC
20462880001OTHERILLINOISDMERC

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: 11/14/2023

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