Provider Demographics
NPI:1417974411
Name:NOE, MILLER & MILLER, LLC
Entity Type:Organization
Organization Name:NOE, MILLER & MILLER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:660-679-3261
Mailing Address - Street 1:PO BOX 47
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:MO
Mailing Address - Zip Code:64730-0047
Mailing Address - Country:US
Mailing Address - Phone:660-679-3261
Mailing Address - Fax:
Practice Address - Street 1:204 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:MO
Practice Address - Zip Code:64730-1554
Practice Address - Country:US
Practice Address - Phone:660-679-3261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT03277152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO533935904Medicaid
MOBCBS OF KANSAS CITYOtherGROUP BCBS OF KANSAS CITY
MOJ430000Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
MOBCBS OF KANSAS CITYOtherGROUP BCBS OF KANSAS CITY