| Mr Thomas R Miller Jr, OD | |
|
11724 Retail Dr., Wake Forest, NC 27587 | |
| (919) 562-5559 | |
| (919) 562-5563 |
| Full Name | Mr Thomas R Miller Jr |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 11724 Retail Dr., Wake Forest, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982786216 | NPI | - | NPPES |
| 0929Y | Other | NC | NC HEALTHCHOICE |
| 0929Y | Other | NC | BLUE CROSS BLUE SHIELD |
| 890929Y | Medicaid | NC | |
| 2238815 | Other | NC | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1802 (North Carolina) | Primary |
| Provider Name | Wake Forest Optometry Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518139369 PECOS PAC ID: 8224084348 Enrollment ID: O20050322000948 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas R Miller Jr, OD 11724 Retail Dr., Wake Forest, NC 27587 Ph: (919) 562-5559 | Mr Thomas R Miller Jr, OD 11724 Retail Dr., Wake Forest, NC 27587 Ph: (919) 562-5559 |
Heritage Eye Care, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3211 Rogers Rd, Ste 100, Wake Forest, NC 27587 Phone: 919-453-1220 | |
Kris Janik Roy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2114 S Main St, Wake Forest, NC 27587 Phone: 919-556-1530 | |
Dr. Bradley Bryson Swaimod, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11724 Retail Dr, Wake Forest, NC 27587 Phone: 919-562-5559 | |
Joanna Davis Reiman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Capcom Ave Ste 100, Wake Forest, NC 27587 Phone: 919-556-1909 | |
Dr. Lee Doyle Mcpherson, O.D., M.P.H. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3150 Rogers Rd, Suite 110, Wake Forest, NC 27587 Phone: 919-263-6163 Fax: 919-263-9408 | |
Myeyedr Optometry Of North Carolina, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3211 Rogers Rd Ste 100, Wake Forest, NC 27587 Phone: 919-453-1220 Fax: 919-453-1221 | |
Tei-wake Forest Od Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3211 Rogers Rd Ste 100, Wake Forest, NC 27587 Phone: 919-453-1220 Fax: 919-453-1221 |