Individual
DR. ANDREW W MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
1010 LIGONIER ST, LATROBE, PA 15650-1846
(724) 539-1671
(724) 539-1654
Mailing address
1010 LIGONIER ST, LATROBE, PA 15650-1846
(724) 539-1671
(724) 539-1654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003046
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003326584
HIGHMARK
PA
05
—
1030863150001
—
PA
01
—
1295789725
MEDICARE
PA
01
—
182875771
RAILROAD MEDICARE GROUP PTAN
PA
Enumeration date
07/27/2015
Last updated
06/13/2022
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