Provider Demographics
NPI:1447690623
Name:RODRIGUEZ, ANDREW MILES (OD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MILES
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:22 MCINTYRE SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-7301
Mailing Address - Country:US
Mailing Address - Phone:412-364-4700
Mailing Address - Fax:412-364-4628
Practice Address - Street 1:22 MCINTYRE SQUARE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-7301
Practice Address - Country:US
Practice Address - Phone:412-364-4700
Practice Address - Fax:412-364-4628
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002818152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist