Active NPI
Joe Ellis Miller II, OD
- Optometrist
- Gainesville, FL
National Provider Identifier
1245411503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0P2082
- Practice address
- 6419 W Newberry Rd
Suite K-22 Oaks Mall
Gainesville, FL 32605 - Phone
- (352) 331-2033
- Fax
- (352) 331-2037
- NPI assigned
- Nov 15, 2007
- Last updated
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 0P2082 | FL | Primary |
Addresses
Primary practice location
6419 W Newberry Rd
Suite K-22 Oaks Mall
Gainesville, FL 32605
Mailing address
6667 Newberry Rd
Gainesville, FL 32605
Phone (352) 331-2033
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 |
|---|---|---|---|
| 0P2082 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Advanced Surgical and Medical Eye Care P a | Optometrist | Past | Accepting new patients |
| Advanced Surgical and Medical Eye Care | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
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.
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Optometrist
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- Ophthalmology Physician
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Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1245411503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6667 NEWBERRY RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-331-2033",
"fax_number": "352-331-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6419 W NEWBERRY RD",
"address_2": "SUITE K-22 OAKS MALL",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32605",
"telephone_number": "352-331-2033",
"fax_number": "352-331-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOE",
"middle_name": "ELLIS",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "0P2082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.