Mariela Miranda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3998-35 Issued in WI

Practice address

8661 S Howell Ave Ste 200
Oak Creek, WI 53154-2919

Phone

(414) 847-0164

NPI assigned

May 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• America'S Best Contacts & Eyeglasses

  • Optician
  • Oak Creek, WI
  • NPI 1285953794
  NPD (past)

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1245070481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8661 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8661 S HOWELL AVE STE 200",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542919",
            "telephone_number": "414-847-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "MARIELA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3998-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Heart Therapy, LLC
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• Miracle Physical Therapy and Rehab Specialists LLC
• Lauren Margaret Darling Misleh, PHARMD
• Virendra K Misra, MD
• Abdulkadir Mohamed
• Yusuf Ismail Mohamed
• Shereen Mohis, M.D.

• Optometrist in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.