Individual provider Active NPI

Laura Sanders Miller, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1073593430
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5146TG Issued in TX
Practice address
3921 Steck Ave Ste A121
Austin, TX 78759-8786
Phone
(512) 328-0555
Fax
(512) 340-0009
NPI assigned
Jan 20, 2006
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5146TG TX Primary

Addresses

Primary practice location

3921 Steck Ave Ste A121
Austin, TX 78759-8786

Mailing address

3921 Steck Ave Ste A121
Austin, TX 78759-8786
Phone (512) 328-0555

Other identifiers 1

IdentifierTypeStateIssuer
0195224-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040317001059 TX Practitioner - Optometry 2567352149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1995
Medicare assignment
May accept Medicare assignment
Group practices
360 Vision PCGroup PAC ID 7810183654, 4 clinicians

Practice addresses (Care Compare)

3921 Steck Ave
Suite A121
Austin, TX 78759-8786

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5146TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 3, 2017 Accepting new patients
360 Vision PC Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Lakeline Vision, P.C. Optometrist PastSince May 1, 2012 Accepting new patients
Retina Consultants of Austin, PA Optometrist PastSince Aug 11, 2012 Accepting new patients

Locations

2203 W 35th St
Austin, TX 78703
Phone (512) 374-6065

3808 Spicewood Springs Rd
Ste 100
Austin, TX 78759
Phone (512) 328-0555

3921 Steck Ave
Ste A121
Austin, TX 78759
Phone (512) 328-0555

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1073593430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 STECK AVE STE A121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598786",
            "telephone_number": "512-328-0555",
            "fax_number": "512-340-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 STECK AVE STE A121",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598786",
            "telephone_number": "512-328-0555",
            "fax_number": "512-340-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "SANDERS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5146TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195224-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.