Kenneth Joel Miller is a San Pedro, California based male Ophthalmologist with 57 years of experience in Ophthalmology. He completed his graduation from St. Louis College Of Physicians And Surgeons in 1967. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth Joel Miller is C30205 for Ophthalmology in California. Kenneth Joel Miller is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Kenneth Joel Miller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
57+ years
Medical School Attended:
St. Louis College Of Physicians And Surgeons
Graduation Year:
1967
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1360 W 6th St, Suite 215, San Pedro, California, 90732-3514
Phone:
310-547-9991
Fax:
310-547-2389
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496792962
Enrollment ID:
I20100827000270
NPI Number:
1073537817
NPI Enumeration Date:
26 Jul, 2006
NPI Last Update On:
31 May, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Joel Miller are as mentioned below.
License Number
Specialization
State
Status
C30205
Ophthalmology
California
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kenneth Joel Miller has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Kenneth J Miller Md A Medical Corp (9234166695)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Joel Miller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
GR0042930
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1360 W 6th St, Suite 215 San Pedro, California
Zip:
90732-3514
Phone Number:
310-547-9991
Fax Number:
310-547-2389
Patients can reach Kenneth Joel Miller at 1360 W 6th St, Suite 215, San Pedro, California or can call to book an appointment on 310-547-9991. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.