Wayne T Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004438-1 Issued in NY

Practice address

292 State Route 375
West Hurley, NY 12491-5632

Phone

(845) 679-0393

Fax

(845) 679-0390

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fine and Park LLCGroup PAC ID 5799836383, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fine & Park LLC

  • Optometrist
  • Kingston, NY
  • NPI 1275769721
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203206400000",
    "number": "1114913639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 STATE ROUTE 375",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124915632",
            "telephone_number": "845-679-0393",
            "fax_number": "845-679-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 STATE ROUTE 375",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124915632",
            "telephone_number": "845-679-0393",
            "fax_number": "845-679-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WAYNE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004438-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP-HMO",
            "identifier": "10035673-6564",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP-HMO",
            "identifier": "906624",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Kromirs
• Elizabeth Nicoll Lawrence, R.N.
• Kelly Leprohon, LMHC, LPC
• Laura Loftus, PT
• Thomas William Lund, PSY.D.
• Bruce Jay Milner, DDS
• Joseph W Nusbaum, DC
• Desiree Annette O'Clair, CD(DONA)
• Lauren Brittany Panesa, LPN
• Ray Pollard Jr., LMT

• Optometrist in West Hurley, NY
• Providers in West Hurley, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.