Active NPI
Stephen Douglas Miller, O.D.
- Optometrist
- Jeffersonville, IN
National Provider Identifier
1205800307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001782B
- Practice address
- 1820 E 10TH St
Jeffersonville, IN 47130-6016 - Phone
- (812) 282-6311
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001782B | IN | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 18001782B | IN | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 18001782B | IN | |
| Pediatric Optometrist | 152WP0200X | 18001782B | IN | |
| Sports Vision Optometrist | 152WS0006X | 18001782B | IN | |
| Vision Therapy Optometrist | 152WV0400X | 18001782B | IN | |
| Occupational Vision Optometrist | 152WX0102X | 18001782B | IN |
Addresses
Primary practice location
1820 E 10TH St
Jeffersonville, IN 47130-6016
Mailing address
1820 E 10TH St
Jeffersonville, IN 47130-6016
Phone (812) 282-6311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001782B | IN | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1205800307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 E 10TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471306016",
"telephone_number": "812-282-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 E 10TH ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471306016",
"telephone_number": "812-282-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STEPHEN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001782B",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IN",
"license": "18001782B",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "IN",
"license": "18001782B",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "IN",
"license": "18001782B",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "IN",
"license": "18001782B",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "IN",
"license": "18001782B",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "IN",
"license": "18001782B",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.