Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 001361136 | CO |
NPI | 1003834573 |
---|---|
Provider Name | Dr. Leon Francis Miller |
First Address | Englewood, CO 80110-2432 |
Second Address | Englewood, CO 80110-2432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 23/02/2016 |