Miller, Dawn Marie
Miller, Dawn Marie is an individual health care provider with primary practice located at 12966 Main St , Garden Grove CA 92840-5115. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Miller, Dawn Marie can be contacted via phone (714) 530-5720.Contact Information
Primary practice address
12966 Main St
Garden Grove CA 92840-5115
Phone: (714) 530-5720
Fax: (714) 530-1465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7765T | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1958 | Wisconsin |
Profile Details
| NPI number | 1760435580 |
|---|---|
| LBN Legal business name | Miller, Dawn Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760435580 | NPPES |
| California | MEDICAID | SD0077650 |
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