Miller, Lawrence Daniel
Miller, Lawrence Daniel is an individual health care provider with primary practice located at 475 State Route 17M , Monroe NY 10950-4169. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Miller, Lawrence Daniel can be contacted via phone (845) 783-4400.Contact Information
Primary practice address
475 State Route 17M
Monroe NY 10950-4169
Phone: (845) 783-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005263 | New York |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | TUV005263 | New York |
Profile Details
| NPI number | 1699732594 |
|---|---|
| LBN Legal business name | Miller, Lawrence Daniel |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1699732594 | NPPES |
| New York | MEDICAID | 01750163 |
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