Provider Demographics
NPI:1568742682
Name:MILLER, DINA F (OD)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:F
Last Name:MILLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13625 RONALD REAGAN BLVD
Mailing Address - Street 2:BLDG 8, STE 200
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:512-528-5528
Mailing Address - Fax:
Practice Address - Street 1:13625 RONALD REAGAN BLVD BLDG 8, STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613
Practice Address - Country:US
Practice Address - Phone:512-528-5528
Practice Address - Fax:512-528-5712
Is Sole Proprietor?:No
Enumeration Date:2011-08-20
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7855TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist