Active NPI
Andrew Joseph Milder, O.D.
- Optometrist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011782
- Practice address
- 4727 N Sheridan Rd
Peoria, IL 61614-5925 - Phone
- (309) 670-2020
- NPI assigned
- Aug 24, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 046.011782 | IL | Primary |
Addresses
Primary practice location
4727 N Sheridan Rd
Peoria, IL 61614-5925
Mailing address
4727 N Sheridan Rd
Peoria, IL 61614-5925
Phone (309) 670-2020
Other practice location 1
1009 N Cummings Ln
Washington, IL 61571-9646
Phone (309) 444-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231102001555 | IL | Practitioner - Optometry | 1456707017 | Reassigns benefits to 3 organizations |
| I20251003001618 | IA | Practitioner - Optometry | 1456707017 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vision Care Center PCMVC Vision 01 PLLC
Practice addresses (Care Compare)
4727 N Sheridan Rd
Peoria, IL 61614-5925
Phone (309) 670-2020
6880 Ep True Pkwy
West Des Moines, IA 50266-5285
Phone (402) 933-7232
Merit-based Incentive Payment System (MIPS)
- Final score
- 97 of 100
- Quality
- 94
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011782 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVC Vision 01 PLLC | Current | Accepting new patients | |
| MVS Vision 02 PLLC | Current | Accepting new patients | |
| Vision Care Center PC | Optometrist | Current | Accepting new patients |
| Tazewell County Resource Centers Inc | Current | Accepting new patients | |
| Tina R Thomas OD LTD | Optometrist | Past | Accepting new patients |
Locations
81A E Queenwood Rd
Morton, IL 61550
Phone (309) 266-9757
33 S 4th St
Pekin, IL 61554
4727 N Sheridan Rd
Peoria, IL 61614
Phone (309) 688-1345
1009 N Cummings Ln
Washington, IL 61571
Phone (309) 231-4134
16820 Frances St
Ste 100
Omaha, NE 68130
Phone (402) 933-6600
Organizations & group practices 6
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.
-
- Low Vision Rehabilitation Optometrist
- East Peoria, IL
- NPI 1265431506
IL
-
- Optometrist
- Washington, IL
- NPI 1629398144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1194509554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4727 N SHERIDAN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145925",
"telephone_number": "309-670-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 N SHERIDAN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145925",
"telephone_number": "309-670-2020"
}
],
"practiceLocations": [
{
"address_1": "1009 N Cummings Ln",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "IL",
"postal_code": "615719646",
"country_code": "US",
"telephone_number": "309-444-8811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILDER",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.