Organization Active NPI

C. Anne Miller O.D., P.C.

  • Optometrist
  • Austin, TX
National Provider Identifier
1194026468
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5943TG Issued in TX
Legal business name
C. ANNE MILLER O.D., P.C.
Practice address
13201 N FM 620
Suite 127
Austin, TX 78717-1011
Phone
(512) 335-2077
Fax
(512) 335-2811
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. C. Anne Miller, O.D.NPI 1720141476
Title
President
Phone
(512) 335-2077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5943TG TX Primary

Addresses

Primary practice location

13201 N FM 620
Suite 127
Austin, TX 78717-1011

Mailing address

101 Shorthorn St
Cedar Park, TX 78613-7770
Phone (512) 507-4674

Other names 1

  • My Eye Site Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101104000983 TX Part B Supplier - Clinic/Group Practice 0840484739 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

13201 Ranch Road 620 N
#127
Austin, TX 78717
Phone (512) 335-2077

13201 Ranch Road 620 N
Ste 127
Austin, TX 78717
Phone (512) 335-2077

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1194026468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHORTHORN ST",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137770",
            "telephone_number": "512-507-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 N FM 620",
            "address_2": "SUITE 127",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787171011",
            "telephone_number": "512-335-2077",
            "fax_number": "512-335-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. ANNE MILLER O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-335-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5943TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.