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SHEILA R MILLER O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1124114830

Individual Registrant:
 SHEILA R MILLER O.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
232 S. HOME AVENUE  TOPTON, PA 19562 US
Tel: 610-682-2500  Fax: 610-682-5022

Contact information for business:
232 S. HOME AVENUE PO BOX 219 TOPTON, PA 19562 US
Tel: 610-682-2500  Fax: 610-682-5022

Registration Information:
NPI: 1124114830
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
PAOEG001646

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA459968PA01
CAPITAL BLUE CROSS02709400PA01




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