Nissa Miranda

Primary specialty

OptometristTaxonomy code 152W00000X

License

14919 Issued in CA

Practice address

1278 Sandia Ave
Sunnyvale, CA 94089-2614

Phone

(408) 568-2675

NPI assigned

Jun 3, 2014

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 NV

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Victoria L Mar OD LTDGroup PAC ID 6507816246, 2 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.

• Victoria L. Mar O.D. LTD

  • Optometrist
  • Las Vegas, NV
  • NPI 1164893012
  Medicare reassignment Care Compare group NPD
• Eye Care at Rhodes Ranch

  • Optometrist
  • Las Vegas, NV
  • NPI 1275833402
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1174936694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 SANDIA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892614",
            "telephone_number": "408-568-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 SANDIA AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892614",
            "telephone_number": "408-568-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "NISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Miller, MFT
• William Randolph Miller, DDS
• Yosabet Minas
• Mingdao Acupuncture Inc
• Marvin Alfonso Miranda Jr., M.D., M.P.H.
• Mona Mirtaheri
• Sumiko Missimer, D.C.
• Dhiren Mistry, PHARM D
• Fan Mo, DO
• Mobile Family Resources Inc

• Optometrist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.