Provider Demographics
NPI:1366709891
Name:MILLER, CRAIG JAMES (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:JAMES
Last Name:MILLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 N MOOSE EYE RD
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:OH
Mailing Address - Zip Code:43767-9775
Mailing Address - Country:US
Mailing Address - Phone:740-391-1347
Mailing Address - Fax:
Practice Address - Street 1:1502 DEERPATH DR
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9240
Practice Address - Country:US
Practice Address - Phone:740-439-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-22
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35128157207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology