Provider Demographics
NPI:1609256692
Name:MILLER, WHITTNEY VARNEY (OD)
Entity Type:Individual
Prefix:
First Name:WHITTNEY
Middle Name:VARNEY
Last Name:MILLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:WHITTNEY
Other - Middle Name:J
Other - Last Name:VARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:75 LEIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2207
Mailing Address - Country:US
Mailing Address - Phone:207-797-2990
Mailing Address - Fax:207-797-0990
Practice Address - Street 1:75 LEIGHTON RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-2207
Practice Address - Country:US
Practice Address - Phone:207-797-2990
Practice Address - Fax:207-797-0990
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT962152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist