Mary Sarah Miller, OD | |
113 Comanche Rd, Fort Meade, SD 57741-1002 | |
(605) 347-2511 | |
Not Available |
Full Name | Mary Sarah Miller |
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Gender | Female |
Speciality | Optometrist |
Location | 113 Comanche Rd, Fort Meade, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275789455 | NPI | - | NPPES |
71600370 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 281 (Alaska) | Secondary |
152W00000X | Optometrist | 3013 (Colorado) | Secondary |
152W00000X | Optometrist | 768 (South Dakota) | Primary |
Provider Name | Vision Care Associates, Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265502264 PECOS PAC ID: 2466433990 Enrollment ID: O20040528000918 |
Mailing Address | Practice Location Address |
---|---|
Mary Sarah Miller, OD 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-2511 | Mary Sarah Miller, OD 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-2511 |
Daniel Albert Watson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-720-7000 | |
Kamaria Lynn Serfling, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 | |
Dezaray Donn Varland, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511 |