Charles E Miller OD SC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHARLES E MILLER OD SC

Doing business as

Eyecare Center of Marshfield

Practice address

605 E 4TH St
Marshfield, WI 54449-4519

Phone

(715) 387-6397

Fax

(715) 384-6140

NPI assigned

Jul 22, 2006

Last updated

Jul 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles E Miller, O.D.NPI 1124011978

Title

Owner

Phone

(715) 387-6397

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eyecare Center of Marshfield Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles E Miller, O.D.

  • Optometrist
  • Marshfield, WI
  • NPI 1124011978
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Anne Sanders, O.D.

  • Optometrist
  • Davie, FL
  • NPI 1194899955

  WI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1194746180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 4TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494519",
            "telephone_number": "715-387-6397",
            "fax_number": "715-384-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 4TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494519",
            "telephone_number": "715-387-6397",
            "fax_number": "715-384-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E MILLER OD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-387-6397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38705100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center of Marshfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise J Carter, NP
• Justin T Castellow, MD
• Shawn Paul Catmull, DO
• Elizabeth Mary Chacko, MD
• Changes Within S.C.
• Krista Chase, LPC-IT
• Biva Chaudhary
• Mahesh Chaudhary, MD
• Afshan Afzal Chaudhry, MD
• Naeem A Chaudhry, MBBS

• Optometrist in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.