Provider Demographics
NPI:1700869583
Name:MILLER, ANNA B (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:B
Last Name:MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:B
Other - Last Name:TYUTYUNIKOV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2639 BROWNSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2005
Mailing Address - Country:US
Mailing Address - Phone:412-881-4242
Mailing Address - Fax:412-881-4252
Practice Address - Street 1:2639 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-2005
Practice Address - Country:US
Practice Address - Phone:412-881-4242
Practice Address - Fax:412-881-4252
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068149L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5196070001OtherDMERC
PA7398123OtherAETNA PPO
PA392553OtherNATIONAL VISION ASSOC
PA0017956700003Medicaid
PA210209OtherUPMC
PA802378OtherBLUE CROSS BLUE SHEILD
PAPA68149OtherVISION BENEFITS OF AMERIC
PA118234OtherHEALTH AM/AS/ADVANTRA
PA6560257OtherCIGNA
PA102850OtherUMWA
PA49927OtherDAVIS VISION
PA3737978OtherAETNA HMO
PAPA68149OtherVISION BENEFITS OF AMERIC
PA802378OtherBLUE CROSS BLUE SHEILD