Individual
DR. ANDREW S MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4830 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-6711
(757) 463-6769
(757) 463-7270
Mailing address
4830 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-6711
(757) 463-6769
(757) 463-7270
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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