Provider Demographics
NPI:1679747794
Name:MILHEIM, DIANA L (OD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:L
Last Name:MILHEIM
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 1:150 LONG BRANCH RUN
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-6533
Mailing Address - Country:US
Mailing Address - Phone:609-638-2202
Mailing Address - Fax:
Practice Address - Street 1:50 E SCHROCK RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2915
Practice Address - Country:US
Practice Address - Phone:614-948-4448
Practice Address - Fax:614-818-9328
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4216152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist