Miller, Randall Mark

Miller, Randall Mark is an individual health care provider with primary practice located at 1221 Se Ellsworth Rd Apt Q183, Vancouver WA 98664-6299. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Miller, Randall Mark can be contacted via phone (360) 448-5060.

Contact Information

Primary practice address
1221 Se Ellsworth Rd Apt Q183 Vancouver WA 98664-6299
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1114194990
LBN Legal business name Miller, Randall Mark
Credentials ABOC
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2008
Last updated May 12th, 2008 - 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.

Request for update

Popular Providers