Active NPI
Matthew J Miller, OD
- Optometrist
- Lawrenceburg, TN
National Provider Identifier
1083774442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0000002539
- Practice address
- 250 N Military Ave
Lawrenceburg, TN 38464-3326 - Phone
- (931) 762-5595
- Fax
- (931) 762-5537
- NPI assigned
- Dec 8, 2006
- Last updated
- Mar 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0000002539 | TN | Primary |
Addresses
Primary practice location
250 N Military Ave
Lawrenceburg, TN 38464-3326
Mailing address
PO Box 620
Suite 200
Lawrenceburg, TN 38464-0620
Phone (931) 762-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD0000002539 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University | Past | Accepting new patients | |
| Franklin Eye Center PC | Optometrist | Past | Accepting new patients |
| Cornea Consultants of Nashville, PLLC | Past | Accepting new patients | |
| Advanced Eyecare Clinic LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Nashville, TN
- NPI 1588744767
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1235154972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1083774442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 620",
"address_2": "SUITE 200",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384640620",
"telephone_number": "931-762-5595",
"fax_number": "931-762-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 N MILITARY AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384643326",
"telephone_number": "931-762-5595",
"fax_number": "931-762-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000002539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.