Provider Demographics
NPI:1003118571
Name:MILLER EYECARE, PLLC
Entity Type:Organization
Organization Name:MILLER EYECARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:MICHELEE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:480-948-1131
Mailing Address - Street 1:14900 N PIMA RD
Mailing Address - Street 2:STE 104
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2664
Mailing Address - Country:US
Mailing Address - Phone:480-948-1131
Mailing Address - Fax:480-889-3906
Practice Address - Street 1:14900 N PIMA RD
Practice Address - Street 2:STE 104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2664
Practice Address - Country:US
Practice Address - Phone:480-948-1131
Practice Address - Fax:480-889-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty