Richard Way Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2195-035 Issued in WI

Practice address

5102 S Packard Ave
Cudahy, WI 53110-1922

Phone

(414) 769-6120

Fax

(414) 769-6998

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myeyedr Optometry of Wisconsin, LLC

  dba MyEyeDr.

  • Optometrist
  • Kenosha, WI
  • NPI 1164992996
  Medicare reassignment NPD
• Miller Optometry, Inc.

  dba VisionHealth Eyecare Center

  • Optometrist
  • Cudahy, WI
  • NPI 1497818314
  Authorized official Same address or phone
• Myeyedr Optometry of Wisconsin, LLC

  dba MyEyeDr.

  • Optometrist
  • West Allis, WI
  • NPI 1710632864
  NPD
• Myeyedr Optometry of Wisconsin, LLC

  dba MyEyeDr.

  • Optometrist
  • Fox Point, WI
  • NPI 1720540685
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235204876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101922",
            "telephone_number": "414-769-6120",
            "fax_number": "414-769-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101922",
            "telephone_number": "414-769-6120",
            "fax_number": "414-769-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "WAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2195-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38532100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana McClone
• Anna Victoria Meier
• Susan Angel Meinerz
• Kathryn Merkel, APNP
• Miller Optometry, Inc. (VisionHealth Eyecare Center)
• Milwaukee Medical Transportation, LLC
• Jamie Kristin Mullin, MD
• Brienn Murray, FNP
• Myeyedr Optometry of Wisconsin, LLC (MyEyeDr.)
• Armando Nunag, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.