John R. Miksch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601001234 Issued in VA

Practice address

5419 Patterson Ave
Richmond, VA 23226-2003

Phone

(804) 285-7638

Fax

(804) 285-2107

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1063403210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262003",
            "telephone_number": "804-285-7638",
            "fax_number": "804-285-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262003",
            "telephone_number": "804-285-7638",
            "fax_number": "804-285-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKSCH",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG2865",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Tadlock Mielke, ND
• Nicole Brown Mihalko, OD
• Husam Mikati
• Spencer Patrick Mikitarian, RBT
• Andrea K Miksa, M.D.
• Milan P. Krickovic, M.D., LTD.
• Carolyn Milander
• Katherine Milberger, LCSW
• Willard Phaup Milby III, MD
• Sloan Fitzpatrick Miler, MD

• Optometrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.