Most Relevant Information
Provider Data
| NPI Number: | 1003554791 |
| Provider Name: | MIRANDA LYNN PACKARD OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 007040 |
Most Important Dates
| Enumeration Date: | 05/23/2022 |
| Last Updated: | 01/12/2023 |
Provider Practice Location
5854 CINEMA DR
MILFORD
OH
451501507
Practice Location Phone/Fax
| Phone: | 5132838060 |
| Fax: |
Provider Mailing Location
74 FAWN DR
HARRISON
OH
450302073
Provider Mailing Phone/Fax
| Phone: | 5139107574 |
| Fax: |