Sally S. Miller O.D. P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SALLY S. MILLER O.D. P.A.

Practice address

2616 Lawndale Dr Ste a
Greensboro, NC 27408-4801

Phone

(336) 288-1919

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Sickmiller

Title

Cpot

Phone

(336) 288-1919

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miller Vision Specialties Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: ssmillerod@millervision.eyefinity-direct.com
• Direct secure messaging: slmillerod@millervision.eyefinity-direct.com
• Direct secure messaging: dmillerod@millervision.eyefinity-direct.com

Practitioners 8

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

• Charles D Miller, OD

  • Optometrist
  • Greensboro, NC
  • NPI 1134104771
  Medicare reassignment Care Compare group NPD
• Sally S Miller, OD

  • Optometrist
  • Greensboro, NC
  • NPI 1285618264
  Medicare reassignment Care Compare group NPD
• Steven L Miller, O.D.

  • Optometrist
  • Greensboro, NC
  • NPI 1144621343
  Medicare reassignment Care Compare group
• Nathan Christopher Davis, O.D.

  • Optometrist
  • Smithfield, NC
  • NPI 1548593486
  Medicare reassignment NPD
• Neill James Bulakowski, O.D.

  • Optometrist
  • Whitsett, NC
  • NPI 1174709760
  NPD (past)
• William Neal Hutto, OD

  • Optometrist
  • High Point, NC
  • NPI 1821191669
  NPD (past)
• Heather Hanford Oman, O.D.

  • Optometrist
  • Greensboro, NC
  • NPI 1508949116
  NPD (past)
• Laura Skelton, O.D.

  • Optometrist
  • Summerfield, NC
  • NPI 1528349941
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194773820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 LAWNDALE DR",
            "address_2": "SUITE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084800",
            "telephone_number": "336-288-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LAWNDALE DR STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084801",
            "telephone_number": "336-288-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY S. MILLER O.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SICKMILLER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CPOT",
        "authorized_official_telephone_number": "336-288-1919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "012W4",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012W4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Vision Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Adeel Salehani, FNP-C, PMHNP-BC
• Salem Professional Anesthesia Services PC
• Gocha Saliashvili, MD
• Margaret C Salinger, PHD
• Donna Marie Salisbury, P.T.
• Jessica Lin Salmon, APRN, FNP-C
• Paula B Salmon, LPCA
• Lisa G Salo, MED, LPC, NCC
• Abdoul Kader Salou Doudou
• Salud Nutrition and Wellness

• Optometrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.