Individual
DR. JAMES ANDREW MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
801 VOLVO PKWY, SUITE 133, CHESAPEAKE, VA 23320-2811
(757) 549-2225
(757) 549-0380
Mailing address
801 VOLVO PKWY, SUITE 133, CHESAPEAKE, VA 23320-2811
(757) 549-2225
(757) 549-0380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001590
VA
152WC0802X
Corneal and Contact Management Optometrist
0618001590
VA
152WP0200X
Pediatric Optometrist
0618001590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09081T00
MEDICARE INDIVIDUAL PTAN
VA
Enumeration date
09/30/2005
Last updated
12/03/2012
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