IndividualActive
Consuelo Miller
NPI 1508660614 · Optician · Coolidge, AZ
Provider details
- NPI number
- 1508660614
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2122I (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1695 N Arizona Blvd
Coolidge, AZ 85128-9128
Phone: (520) 723-8641
Fax: (520) 723-8643
Approximate (ZIP-level) locationGet directions
Mailing address
1695 N Arizona Blvd
Coolidge, AZ 85128-9128
Registry dates
- Enumerated
- 2025-04-01
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.