Miller, Scott R

Miller, Scott R is an individual health care provider with primary practice located at 3100 Wilson Ave Sw , Grandville MI 49418-1200. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, Scott R can be contacted via phone (616) 534-8238.

Contact Information

Primary practice address
3100 Wilson Ave Sw Grandville MI 49418-1200
Phone: (616) 534-8238
Fax: (616) 534-4189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003770 Michigan

Profile Details

NPI number 1922079011
LBN Legal business name Miller, Scott R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Dec 21st, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922079011 NPPES
Michigan MEDICAID 4074370

Popular Providers