Miller, Andrew S
Miller, Andrew S is an individual health care provider with primary practice located at 4830 Virginia Beach Blvd , Virginia Beach VA 23462-6711. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miller, Andrew S can be contacted via phone (757) 463-6769.Contact Information
Primary practice address
4830 Virginia Beach Blvd
Virginia Beach VA 23462-6711
Phone: (757) 463-6769
Fax: (757) 463-7270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000299 | Virginia |
Profile Details
| NPI number | 1891781274 |
|---|---|
| LBN Legal business name | Miller, Andrew S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Feb 7th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891781274 | NPPES |
| Virginia | Other | 111365 | EYEMED |
| Virginia | Other | 063448 | EYEMED |
| Virginia | Other | 5133 | EYEMED |
| Virginia | Other | 6608 | EYEMED |
| Virginia | MEDICAID | VA009202731 | EYEMED |
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