Timothy I Miller O.D. P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-006550 Issued in IL

Legal business name

TIMOTHY I MILLER O.D. P.C.

Practice address

107 E. McKinley Rd.
Ottawa, IL 61350

Phone

(815) 433-1426

Fax

(815) 433-1446

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Timothy I Miller, OD

Title

Owner

Phone

(815) 433-1426

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Wendy Sanders-Maubach, O.D.

  • Optometrist
  • Ottawa, IL
  • NPI 1346238664
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1235383266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E. MCKINLEY RD.",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "61350",
            "telephone_number": "815-433-1426",
            "fax_number": "815-433-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E. MCKINLEY RD.",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "61350",
            "telephone_number": "815-433-1426",
            "fax_number": "815-433-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY I MILLER O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-433-1426",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-006550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Thompson, COTA
• Julie Ann Threadgill, APRN,CNP
• Thrive Collective
• Elizabeth M Thrush, RPH
• Kristina Thrush, LPC, NCC
• Angela Marie Todd, NP
• A Tomas, M.D.
• Bernard J. Torri, MASTERS DEGREE M.A.
• Ryan Joseph Tremb, D.O.
• Elizabeth Jo Trost, LCSW

• Optometrist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.