Individual provider Active NPI

Matthew J Miller, OD

  • Optometrist
  • Lawrenceburg, TN
National Provider Identifier
1083774442
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000002539 Issued in TN
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OD0000002539TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Past Accepting new patients
Franklin Eye Center PC Optometrist Past Accepting new patients
Cornea Consultants of Nashville, PLLC PastSince Feb 5, 2024 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.

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.

Verify at the official NPI Registry.