Individual
DR. ANDREW S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000299
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063448
BLUE CROSS BLUE SHIELD
VA
01
—
111365
EYEMED
VA
01
—
5133
DAVIS
VA
01
—
6608
AVESIS
VA
05
—
VA009202731
—
VA
Enumeration date
09/21/2005
Last updated
02/07/2020
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