Provider Demographics
NPI:1720386865
Name:MILLER, CHELSEA LEE (OD,)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:LEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:OD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2231 N PEAR GROVE CT
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:GA
Mailing Address - Zip Code:30549-7911
Mailing Address - Country:US
Mailing Address - Phone:404-257-0814
Mailing Address - Fax:
Practice Address - Street 1:270 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-2881
Practice Address - Country:US
Practice Address - Phone:706-543-3599
Practice Address - Fax:706-543-8681
Is Sole Proprietor?:No
Enumeration Date:2011-03-13
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002585152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist