Lawrence D Miller


Address: 785 Route 17m, Monroe, NY 10950-2623

Lawrence D Miller (NPI# 1699732594, PAC ID# 7214919513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1699732594
PAC ID by PECOS 7214919513
Professional Enrollment ID I20040602000045
Full Name Lawrence D Miller
Address 785 Route 17m
Monroe
NY 10950-2623
Gender M
Credential OD
Medical School STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year 1991
Primary Specialty OPTOMETRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330160 STATEN ISLAND UNIVERSITY HOSPITAL

Other Locations

Address Phone Organization
785 Route 17m, Monroe, NY 10950-2623
375 Seguine Ave, Staten Island, NY 10309-3932 7182266902 NORTH SHORE-LIJ MEDICAL PC

Organization Information

Office Location

Street Address 785 ROUTE 17M
City MONROE
State NY
Zip 10950-2623

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Competitor

Search similar physicians

City MONROE
Zip Code 10950
Specialty OPTOMETRY
City + Specialty MONROE + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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