Individual provider Active NPI

Danise Joann Miller, OD

  • Optometrist
  • Little Falls, MN
National Provider Identifier
1083603831
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MN2873 Issued in MN
Practice address
15088 22ND Ave NE
Little Falls, MN 56345-4199
Phone
(320) 632-1950
Fax
(320) 632-2558
NPI assigned
Oct 14, 2005
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MN2873 MN Primary

Addresses

Primary practice location

15088 22ND Ave NE
Little Falls, MN 56345-4199

Mailing address

15088 22ND Ave NE
Little Falls, MN 56345-4199
Phone (320) 632-1950

Other identifiers 1

IdentifierTypeStateIssuer
132744500MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040510001345 MN Practitioner - Optometry 6608865134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15088 22ND Ave NE
Little Falls, MN 56345-4199
Phone (320) 632-1950

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Vision Centers, Inc Optometrist Past Accepting new patients
Mille Lacs Family Eye Care Past Accepting new patients
Midwest Vision Centers Inc Past Accepting new patients
Schamber Eye Care, P.a. PastSince Jan 1, 2016 Accepting new patients
Midwest Optical & Contact Lens Center LLC Past Accepting new patients
Lakes Area Eyecare, Inc. Optometrist Past Accepting new patients

Organizations & group practices 8

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1083603831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15088 22ND AVE NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563454199",
            "telephone_number": "320-632-1950",
            "fax_number": "320-632-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15088 22ND AVE NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563454199",
            "telephone_number": "320-632-1950",
            "fax_number": "320-632-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANISE",
        "middle_name": "JOANN",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "MN2873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132744500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.