Organization
LESLIE B. MILLER, O.D., INC.
Active
Other names
Twin Valley Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE B. MILLER O.D. (OPTOMETRIST/ OWNER/ PRESIDENT)
(717) 625-4600
Entity
Organization
Contact information
Practice address
1555 HIGHLANDS DR, SUITE 180, LITITZ, PA 17543-2800
(717) 625-4600
(717) 625-4676
Mailing address
1555 HIGHLANDS DR, SUITE 180, LITITZ, PA 17543-2800
(717) 625-4600
(717) 625-4676
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-001151
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447077
PENNSYLVANIA BLUE SHIELD
PA
01
—
467786
AETNA
PA
Enumeration date
08/29/2006
Last updated
01/20/2009
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