Provider Demographics
NPI:1609936988
Name:MILLER, CHRISTIAN SPANGLER (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:SPANGLER
Last Name:MILLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:CHRISTIAN
Other - Middle Name:SPANGLER
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2045 STATE ROUTE 57
Mailing Address - Street 2:STE 6
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-3533
Mailing Address - Country:US
Mailing Address - Phone:908-366-4951
Mailing Address - Fax:908-813-0628
Practice Address - Street 1:2045 STATE ROUTE 57
Practice Address - Street 2:STE 6
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3533
Practice Address - Country:US
Practice Address - Phone:908-366-4951
Practice Address - Fax:908-813-0628
Is Sole Proprietor?:No
Enumeration Date:2006-12-09
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OM00074900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist