Miller Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002931 Issued in MI

Legal business name

MILLER OPTICAL INC.

Practice address

43560 Van Dyke Ave
Sterling Heights, MI 48314-2436

Phone

(586) 254-9600

Fax

(586) 254-6787

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Thomas Miller, OPTICIANNPI 1205889466

Title

Owner

Phone

(586) 254-9600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey T Miller, OPTICIAN

  • Optician
  • Sterling Heights, MI
  • NPI 1205889466
  NPD Authorized official
• Robert S Miller, OWNER

  • Technician/Technologist
  • Sterling Heights, MI
  • NPI 1427185073
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1104015957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43560 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142436",
            "telephone_number": "586-254-9600",
            "fax_number": "586-254-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43560 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142436",
            "telephone_number": "586-254-9600",
            "fax_number": "586-254-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-254-9600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mila Velinova PSYD PLLC
• Trinity Milanovic
• Christopher Milback, M.D.
• Amyre Miles
• Judy Lynn Milhim, PT
• Miller Optical Services
• Angela Miller
• Jeffrey T Miller, OPTICIAN
• Kennasha Lashay Miller
• Robert S Miller, OWNER

• Optometrist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.