Active NPI
Christopher Tate Miller, O.D.
- Optometrist
- Des Moines, IA
National Provider Identifier
1023066925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02282
- Practice address
- 1212 Pleasant St
Suite 202
Des Moines, IA 50309-1414 - Phone
- (515) 244-3937
- Fax
- (515) 243-1442
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02282 | IA | Primary |
Addresses
Primary practice location
1212 Pleasant St
Suite 202
Des Moines, IA 50309-1414
Mailing address
1212 Pleasant St
Suite 202
Des Moines, IA 50309-1414
Phone (515) 244-3937
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0496752 | Medicaid | IA | |
| 15320 | Other | IA | WELLMARK PROVIDER NUMBER |
| 0496182 | Medicaid | IA | |
| 04179 | Other | IA | GROUP ID WELLMARK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 Pleasant St
Suite 202
Des Moines, IA 50309-1411
Phone (515) 244-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02282 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Ophthalmologists, PC | Current | Accepting new patients | |
| Associated Ophthalmologists, PC | Optometrist | Current | Accepting new patients |
| Industrial Optical Service, Inc | Optometrist | Past | Accepting new patients |
Locations
1212 Pleasant St
Ste 202
Des Moines, IA 50309
Phone (515) 243-1580
Organizations & group practices 3
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.
-
- Optometrist
- Des Moines, IA
- NPI 1588622278
-
- Eyewear Supplier
- Des Moines, IA
- NPI 1285682229
-
- Optometrist
- Elmhurst, IL
- NPI 1689069486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023066925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "SUITE 202",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091414",
"telephone_number": "515-244-3937",
"fax_number": "515-243-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST",
"address_2": "SUITE 202",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091414",
"telephone_number": "515-244-3937",
"fax_number": "515-243-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHRISTOPHER",
"middle_name": "TATE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0496752",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK PROVIDER NUMBER",
"identifier": "15320",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0496182",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ID WELLMARK",
"identifier": "04179",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.