Organization
OPHTHALMOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ERNEST MILLER MD (PRESIDENT)
(651) 293-0225
Entity
Organization
Contact information
Practice address
310 N SMITH AVE, RITCHIE MEDICAL PLAZA SUITE 100, ST PAUL, MN 55102-2384
(651) 293-0225
(651) 293-0329
Mailing address
310 N SMITH AVE, RITCHIE MEDICAL PLAZA SUITE 100, ST PAUL, MN 55102-2384
(651) 293-0225
(651) 293-0329
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004516
PREFERRED ONE
—
01
—
0800025
MEDICA PRIMARY
—
01
—
0802066
MEDICA CHOICE
—
01
—
105688
UCARE
—
01
—
11562MI
BCBS
—
01
—
1E052MI
BCBS
—
01
—
208070X
OLD MN MA
MN
01
—
23558
ARAZ
—
01
—
30688300
WIS MA
WI
Enumeration date
11/08/2006
Last updated
08/22/2020
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