Provider Demographics
NPI:1386165660
Name:MILEHAM, JULIE WONG (OD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:WONG
Last Name:MILEHAM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 CORPORATE DRIVE
Mailing Address - Street 2:STE 150
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-7005
Mailing Address - Country:US
Mailing Address - Phone:412-367-2333
Mailing Address - Fax:412-367-3471
Practice Address - Street 1:5900 CORPORATE DRIVE
Practice Address - Street 2:STE 150
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-7005
Practice Address - Country:US
Practice Address - Phone:412-367-2333
Practice Address - Fax:412-367-3471
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003279152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist