Individual provider Active NPI

Robert L Miller, OD

  • Optometrist
  • Hartville, OH
National Provider Identifier
1073682076
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4371 Issued in OH
Practice address
500 S Prospect Ave
Hartville, OH 44632-9403
Phone
(330) 877-2117
Fax
(330) 877-1617
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4371 OH Primary

Addresses

Primary practice location

500 S Prospect Ave
Hartville, OH 44632-9403

Mailing address

500 S Prospect Ave
Hartville, OH 44632-9403
Phone (330) 877-2117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070108000568 OH Practitioner - Optometry 9133129570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert L. Miller, OD Inc.Group PAC ID 5597765925, 5 clinicians

Practice addresses (Care Compare)

4907 Dalbey LN B
Berlin, OH 44610
Phone (330) 893-2215

500 S Prospect Ave
Hartville, OH 44632-8401
Phone (330) 877-2117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4371OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L. Miller, OD Inc. Optometrist CurrentSince Aug 29, 2006 Accepting new patients

Locations

500 S Prospect Ave
Hartville, OH 44632
Phone (330) 877-2117

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073682076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S PROSPECT AVE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329403",
            "telephone_number": "330-877-2117",
            "fax_number": "330-877-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S PROSPECT AVE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329403",
            "telephone_number": "330-877-2117",
            "fax_number": "330-877-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartville, OH

Sources for this page

Verify at the official NPI Registry.