Provider Demographics
NPI:1932360856
Name:MILLER, KATHERINE JOYCE (OD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:JOYCE
Last Name:MILLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:JOYCE
Other - Last Name:SHUELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:18756 COASTAL HWY UNIT 2
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-6155
Mailing Address - Country:US
Mailing Address - Phone:302-645-4789
Mailing Address - Fax:
Practice Address - Street 1:18756 COASTAL HWY UNIT 2
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6155
Practice Address - Country:US
Practice Address - Phone:302-645-4789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2099152W00000X
DEI3-0001345152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist