Miranda Lynn Packard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

007040 Issued in OH

Practice address

5854 Cinema Dr
Milford, OH 45150-1507

Phone

(513) 283-8060

NPI assigned

May 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Ronald Cooke and George Landon Optometrists LLCGroup PAC ID 2365333242, 4 clinicians

Cooke Landen and Grutzmacher OD IncGroup PAC ID 3577555614, 4 clinicians

Jeffrey a Rahn OD IncGroup PAC ID 2860413382, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• OH PPO
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cooke Landen & Grutzmacher OD Inc

  • Optometrist
  • Cincinnati, OH
  • NPI 1154402493
  Medicare reassignment Care Compare group NPD
• DRS Ronald Cooke & George Landon Optometrists LLC

  • Optometrist
  • Harrison, OH
  • NPI 1265447221
  Medicare reassignment Care Compare group NPD
• Jeffrey a Rahn OD Inc

  • Optometrist
  • Milford, OH
  • NPI 1669509345
  Medicare reassignment Care Compare group NPD
• Dr. E. M. Kirstein & Associates, Inc.

  • Optometrist
  • Cincinnati, OH
  • NPI 1649317108
  NPD (past)
• Opticare Vision Centers, LLC

  • Optometrist
  • Wilmington, OH
  • NPI 1932501061
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1003554791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 FAWN DR",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302073",
            "telephone_number": "513-910-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5854 CINEMA DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501507",
            "telephone_number": "513-283-8060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10051 Simonson Rd Unit 3",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "OH",
            "postal_code": "450302001",
            "country_code": "US",
            "telephone_number": "513-452-4945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "486 Ohio Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553343",
            "country_code": "US",
            "telephone_number": "513-813-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "MIRANDA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "007040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Option Care Enterprises, Inc.
• Tonya Marie Orick
• Amy Teresa Orr, LMT
• Jarryd Michael Osborne
• Hannah Osterfeld, OT
• Brenda Page
• Joshua Paire, R.PH.
• Autumn Palmer, PTA
• Edward Briton Palmer
• Jamie A Palmer

• Optometrist in Milford, OH
• Providers in Milford, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.