Provider Demographics
NPI:1730271115
Name:MILLER-HAMILTON, LINDSAY KAY (OD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:KAY
Last Name:MILLER-HAMILTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:KAY
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD,
Mailing Address - Street 1:403 GREGORY LN
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-8633
Mailing Address - Country:US
Mailing Address - Phone:814-932-1550
Mailing Address - Fax:
Practice Address - Street 1:237 NORTHLAND CTR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2900
Practice Address - Country:US
Practice Address - Phone:814-231-8542
Practice Address - Fax:814-235-0838
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001455152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA223040OtherEYEMED PROVIDER #
PAMI1650520OtherBLUE SHIELD PROV #
PA397607OtherNVA PROVIDER #