Pay Attention to compliments. Are they all about the way you
look? Or even a comparison such as "your hair is red like Sarah's,
but prettier" or even "Sarah wore her hair the same way you do"
could be an indication of whether he only likes you for your
looks.
Get to know his ex better. If she goes to the same school, keep
an eye out for her [but don't initiate a confrontation]. If you
have no contact with her, scope out pictures [check if she has
Myspace or Facebook or Bebo] and make sure if that really is the
case.
Listen to him if he ever brings his ex up, or listen to his
friends talk about her [don't ask them about her though] and try to
get conclusive evidence/ confirm this.
Talk to a close friend about this [preferably someone who knows
him through you] and see their reaction. If they think its
definitely possible, you might be onto something here.
Having confirmed that he only likes you for the way you look,
re-evaluate your relationship. Do you really want to be with
someone like that? Sure if you guys break up you'll be single, but
single also means available for someone outstanding, who actually
likes you for the awesome person you are!
Try making him like you for yourself. Talk to him more,
preferably over the phone so that you aren't faced with a situation
where he wants to cuddle up and you want to have a deep
conversation.
Share your dreams and ambitions, and make him realize that
you're a different person from his ex, no matter how identical you
both look.
Consider a slight change in the way you look if it REALLY
bothers you. This can range from something as simple as a new
hairstyle to a new haircut or even [in extreme cases] changing your
hair color/ getting contacts. Before making any changes think about
whether he's worth changing for.
Talk to him about it if you think it's getting out of hand.
Don't be rude or confrontational, just bring it to his notice and
consider taking a short break so that he misses YOU and not the way
you look.