Active NPI
James E. Miller, OPTM
- Optometrist
- Cookeville, TN
National Provider Identifier
1245237247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODT00751
- Practice address
- 628 E 10TH St
Cookeville, TN 38501-1810 - Phone
- (931) 526-2143
- Fax
- (931) 526-5217
- NPI assigned
- Jul 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODT00751 | TN | Primary |
Addresses
Primary practice location
628 E 10TH St
Cookeville, TN 38501-1810
Mailing address
628 E 10TH St
Cookeville, TN 38501-1810
Phone (931) 526-2143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111102000583 | TN | Practitioner - Optometry | 1759594138 | Practice locations: Cookeville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1979
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
628 E 10TH St
Cookeville, TN 38501-1810
Phone (931) 526-2143
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODT00751 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1245237247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 E 10TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011810",
"telephone_number": "931-526-2143",
"fax_number": "931-526-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 E 10TH ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385011810",
"telephone_number": "931-526-2143",
"fax_number": "931-526-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "OPTM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "ODT00751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.