Provider Demographics
NPI:1639490188
Name:ASHLEIGH A MILLER, O.D., LLC
Entity Type:Organization
Organization Name:ASHLEIGH A MILLER, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:772-285-8003
Mailing Address - Street 1:315 BELLE GROVE LN
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4546
Mailing Address - Country:US
Mailing Address - Phone:772-285-8003
Mailing Address - Fax:561-784-0862
Practice Address - Street 1:555 N FEDERAL HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3998
Practice Address - Country:US
Practice Address - Phone:561-367-1594
Practice Address - Fax:561-367-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4039152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty