Organization Active NPI

Leslie B. Miller, O.D., Inc.

  • Optometrist
  • Lititz, PA
National Provider Identifier
1710096516
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-001151 Issued in PA
Legal business name
LESLIE B. MILLER, O.D., INC.
Practice address
1555 Highlands Dr
Suite 180
Lititz, PA 17543-2800
Phone
(717) 625-4600
Fax
(717) 625-4676
NPI assigned
Aug 29, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leslie B. Miller, O.D.NPI 1346216959
Title
Optometrist/ Owner/ President
Phone
(717) 625-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-001151 PA Primary

Addresses

Primary practice location

1555 Highlands Dr
Suite 180
Lititz, PA 17543-2800

Mailing address

1555 Highlands Dr
Suite 180
Lititz, PA 17543-2800
Phone (717) 625-4600

Other identifiers 2

IdentifierTypeStateIssuer
1447077OtherPAPENNSYLVANIA BLUE SHIELD
467786OtherPAAETNA

Other names 1

  • Twin Valley Eye Associates Other name

National Provider Directory

National Provider Directory

Locations

100 Highlands Dr
Ste 303
Lititz, PA 17543
Phone (717) 625-4600

1555 Highlands Dr
Ste 180
Lititz, PA 17543
Phone (717) 625-4600

3200 Main St
#266
Morgantown, PA 19543
Phone (610) 286-5170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1710096516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 HIGHLANDS DR",
            "address_2": "SUITE 180",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175432800",
            "telephone_number": "717-625-4600",
            "fax_number": "717-625-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 HIGHLANDS DR",
            "address_2": "SUITE 180",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175432800",
            "telephone_number": "717-625-4600",
            "fax_number": "717-625-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE B. MILLER, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "717-625-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-001151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "1447077",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "467786",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Valley Eye Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.