Provider Demographics
NPI:1881679025
Name:MILLER, TODD FRANK (OD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:FRANK
Last Name:MILLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6510 ABRAMS ROAD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-7241
Mailing Address - Country:US
Mailing Address - Phone:214-341-4799
Mailing Address - Fax:214-341-0623
Practice Address - Street 1:6510 ABRAMS RD
Practice Address - Street 2:SUITE 150
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7217
Practice Address - Country:US
Practice Address - Phone:214-341-4799
Practice Address - Fax:214-341-0623
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5054TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPO83314E5Medicaid
TXPO83314E5Medicaid
263200Medicare PIN