Active NPI
Sheila R Miller, O.D.
- Optometrist
- Reading, PA
National Provider Identifier
1124114830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001646
- Practice address
- 2910 N 5TH St
Reading, PA 19605-2461 - Phone
- (610) 929-2531
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | OEG001646 | PA | Primary |
Addresses
Primary practice location
2910 N 5TH St
Reading, PA 19605-2461
Mailing address
32 Highland Dr
Fleetwood, PA 19522-9617
Phone (610) 568-6981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02709400 | Other | PA | CAPITAL BLUE CROSS |
| 459968 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060314000460 | PA | Practitioner - Optometry | 9931116076 | Practice locations: Topton, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001646 | PA | MD | Optometrist |
| 25209 | WA | MD | Nuclear Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1124114830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 HIGHLAND DR",
"city": "FLEETWOOD",
"state": "PA",
"postal_code": "195229617",
"telephone_number": "610-568-6981",
"fax_number": "610-682-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 5TH ST",
"city": "READING",
"state": "PA",
"postal_code": "196052461",
"telephone_number": "610-929-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHEILA",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2022-05-04",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02709400",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "459968",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.