Individual provider Active NPI

David Hunter Miller, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1073617304
Registry record updated Apr 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TNOD1234 Issued in TN
Practice address
9409 S Northshore Dr
Suite 101
Knoxville, TN 37922-6550
Phone
(865) 694-2622
Fax
(865) 694-2650
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TNOD1234 TN Primary

Addresses

Primary practice location

9409 S Northshore Dr
Suite 101
Knoxville, TN 37922-6550

Mailing address

9409 S Northshore Dr
Suite 101
Knoxville, TN 37922-6550
Phone (865) 694-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090604000233 TN Practitioner - Optometry 7517937287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9409 S Northshore Dr
Suite 101
Knoxville, TN 37922-6550
Phone (865) 694-2622

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TNOD1234TNMDOptometrist
1234TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Eye Care PC Optometrist CurrentSince Feb 1, 2001 Accepting new patients
Miller Eye Care Optometrist Past Accepting new patients
Miller Eye Care Optometrist Past Accepting new patients

Locations

9409 S Northshore Dr
Ste 101
Knoxville, TN 37922
Phone (865) 694-2622

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.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240099200000",
    "number": "1073617304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 S NORTHSHORE DR",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226550",
            "telephone_number": "865-694-2622",
            "fax_number": "865-694-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 S NORTHSHORE DR",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226550",
            "telephone_number": "865-694-2622",
            "fax_number": "865-694-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "HUNTER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2009-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TNOD1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.