Miller, Wayne T
Miller, Wayne T is an sole proprietor health care provider with primary practice located at 292 State Route 375 , West Hurley NY 12491-5632. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, Wayne T can be contacted via phone (845) 679-0393.Contact Information
Primary practice address
292 State Route 375
West Hurley NY 12491-5632
Phone: (845) 679-0393
Fax: (845) 679-0390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV004438-1 | New York |
Profile Details
| NPI number | 1114913639 |
|---|---|
| LBN Legal business name | Miller, Wayne T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Feb 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114913639 | NPPES |
| New York | Other | 10035673-6564 | CDPHP-HMO |
| New York | Other | 906624 | CDPHP-HMO |
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