Michelle Marie Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

290 Issued in NV

Practice address

448 S Maine St
Fallon, NV 89406-3342

Phone

(775) 423-7411

Fax

(775) 423-4785

NPI assigned

Sep 25, 2006

Sex

Female

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

Practice roles

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.

• Central Nevada Vision Inc

  • Optometrist
  • Fallon, NV
  • NPI 1841391810
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1073614038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 S MAINE ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063342",
            "telephone_number": "775-423-7411",
            "fax_number": "775-423-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 S MAINE ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063342",
            "telephone_number": "775-423-7411",
            "fax_number": "775-423-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002516050",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacy Mae Menzies, MS MFT LADC, LADC-S
• Michael Lagrone
• Michelle Diedrichsen
• Ian Haskell Mikolaj, MD
• Maria M Miller, DA
• Shannon Miller
• Dorothy Mitchell
• Jessica Mitchell
• Cassandra Moberg, SLP
• Kassidy Montgomery

• Optometrist in Fallon, NV
• Providers in Fallon, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.