Joanna M Miranda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003004 Issued in GA

Practice address

500 Brookhaven Ave NE
Brookhaven, GA 30319-3291

Phone

(404) 460-1926

NPI assigned

Jun 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

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.

• Forster Eye Care, P.C.

  • Optometrist
  • Lawrenceville, GA
  • NPI 1750552469
  Medicare reassignment NPD
• Brookhaven Vision Care, LLC

  • Optometrist
  • Brookhaven, GA
  • NPI 1700676558
  NPD Authorized official

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1144759374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 WHITEHAVEN PARK LN SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265938",
            "telephone_number": "704-728-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROOKHAVEN AVE NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193291",
            "telephone_number": "404-460-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "JOANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Miller
• Reyana Miller, RBT
• Roselynn E Miller, PSY.D.
• Shameyrae Devonya Miller
• Miracle Kids LLC
• Brittany Nicole Mitchell, RBT
• Hassan Marwan Mohammed Salih, DDS
• April Mojica, LPC
• Brenda Montero, RBT
• Andres Montoya, RBT

• Optometrist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.

Verify at the official NPI Registry.