Provider Demographics
NPI:1598906026
Name:MILLER, CHRISTINA FRANCES (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:FRANCES
Last Name:MILLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:33 N TUCKER ST APT 4
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-2630
Mailing Address - Country:US
Mailing Address - Phone:901-289-3358
Mailing Address - Fax:
Practice Address - Street 1:1225 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2211
Practice Address - Country:US
Practice Address - Phone:901-722-3250
Practice Address - Fax:901-722-3280
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2760152W00000X
TN2875152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist