RANDALL MARK MILLER (NPI# 1114194990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114194990 |
| Entity Type | Individual |
| Full Name | RANDALL MARK MILLER |
| Credential | ABOC |
| Practice Address |
1221 Se Ellsworth Rd Apt Q183 Vancouver WA 98664-6299 |
| Practice Telephone | 3604485060 |
| Mailing Telephone | 3604485060 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346635554 | Randall Lee Miller II | Student in an Organized Health Care Education/Training Program | 590 Manning Drive Preventive Medicine, Chapel Hill, NC 27599-6402 | 2015-04-03 |
| 1013183797 | Randall Wayne Miller | Dentist | 275 Saddlebrook Ter, Roswell, GA 30075-2453 | 2008-05-02 |
| 1972632081 | Randall William Miller | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2007-03-05 |
| 1689721508 | Randall Lee Miller | Dentist | 117 W Washington St, Shelbyville, IN 46176-1245 | 2007-01-04 |
| 1740342575 | Randall W. Miller | Family Medicine | 1170 Clifton Ave, Clifton, NJ 07013-3622 | 2006-12-15 |
| 1255417473 | Randall Armand Miller | Dentist | 66 Colchester Avenue, Burlington, VT 05401 | 2006-10-31 |
| 1972692457 | Randall D Miller | Family Medicine | Building 3406 Alder Street, Kamish Clinic, Fort Wainwright, AK 99703-0000 | 2006-10-12 |
| 1063029403 | Randall Lee Miller | Pharmacist | 959 E Lennon Dr, Emory, TX 75440-5232 | 2020-09-29 |
| 1083627236 | Randall Miller | Family Medicine | 1601 Nw 114th St, Clive, IA 50325-7007 | 2006-08-15 |
| 1952341497 | Randall Miller | Internal Medicine | 351 Moosa Blvd, Eunice, LA 70535-3625 | 2006-06-06 |
| Street Address |
1221 SE ELLSWORTH RD APT Q183 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-6299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588143986 | Robin Nordlum | Technician/Technologist | 814 Ne 123rd Ave, Vancouver, WA 98684-5842 | 2018-08-07 |
| 1457591265 | America's Best Contacts & Eyeglasses | Technician/Technologist | 9301 Ne 5th Ave Ste 114, Vancouver, WA 98665-8271 | 2009-03-06 |
| 1588831754 | Luke Huy-viet Pham | Technician/Technologist | 5305 Ne 121st Ave Ste N501, Vancouver, WA 98682-6202 | 2008-05-15 |
| 1841392545 | Deanna Kay Curtis | Technician/Technologist | 905 Se 136th Ave Apt V8, Vancouver, WA 98683-3526 | 2006-09-02 |
| 1821474032 | Wal-mart Stores, Inc. | Technician/Technologist | 14505 Ne Fourth Plain Blvd, Vancouver, WA 98682-5003 | 2015-08-11 |
| 1265856934 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8101 Ne Parkway Dr, Vancouver, WA 98662-7911 | 2014-02-14 |
| 1689888950 | Corinna Gae Frikken | Technician/Technologist | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2007-05-09 |
| 1427134618 | Wal-mart Stores, Inc | Technician/Technologist | 221 Ne 104th Ave, Vancouver, WA 98664-4505 | 2006-10-31 |
| 1154402584 | Wal-mart Stores, Inc | Technician/Technologist | 430 Se 192nd Ave, Vancouver, WA 98683-9531 | 2006-10-19 |
| 1275622219 | Wal-mart Stores, Inc | Technician/Technologist | 9000 Ne Highway 99, Vancouver, WA 98665-8923 | 2006-10-11 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.