Provider Demographics
NPI:1629024245
Name:MILLER OPHTHALMOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:MILLER OPHTHALMOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-325-3300
Mailing Address - Street 1:MILLER OPHTHALMOLOGY ASSOCIATES, LLC 16 SOUTH JEFFERS
Mailing Address - Street 2:FIR 2
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-1047
Mailing Address - Country:US
Mailing Address - Phone:973-325-3300
Mailing Address - Fax:973-325-3320
Practice Address - Street 1:MILLER OPHTHALMOLOGY ASSOCIATES, LLC 16 SOUTH JEFFERS
Practice Address - Street 2:FIR 2
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1047
Practice Address - Country:US
Practice Address - Phone:973-325-3300
Practice Address - Fax:973-325-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
180030401OtherRAILROAD MEDICARE
NJ4864940001Medicare NSC
NJ014330Medicare ID - Type UnspecifiedMEDICARE GROUP #