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Individual

DR. LAWRENCE DANIEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
475 STATE ROUTE 17M, MONROE, NY 10950-4169
(845) 783-4400
Mailing address
475 STATE ROUTE 17M, PLAZA OPTICAL, MONROE, NY 10950-4169
(845) 735-4400

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV005263
NY
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
TUV005263
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01750163
NY
Enumeration date
04/26/2006
Last updated
09/11/2025
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