Provider Demographics
NPI:1548392780
Name:MILLER, LOUIS BRIAN (OD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:BRIAN
Last Name:MILLER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:2745 SANDY PLAINS RD
Practice Address - Street 2:SUITE 132
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4327
Practice Address - Country:US
Practice Address - Phone:770-977-1222
Practice Address - Fax:770-973-2382
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA1017152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist