Individual provider Active NPI

Maxine Reedy Miller, M.D.

  • Ophthalmology Physician
  • Pittsburgh, PA
National Provider Identifier
1245594787
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD473975 Issued in PA
Practice address
713 Washington Rd
Pittsburgh, PA 15228-2080
Phone
(412) 561-1964
Fax
(412) 561-7295
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT202903 PA
Ophthalmology Physician 207W00000X MD-22000 HI
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X MD473975 PA Primary

Addresses

Primary practice location

713 Washington Rd
Pittsburgh, PA 15228-2080

Mailing address

713 Washington Rd
Pittsburgh, PA 15228-2080
Phone (412) 561-1964

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1962

Other practice location 2

189 E Pike St
Canonsburg, PA 15317-1765
Phone (724) 745-6258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220114000279 HI Practitioner - Ophthalmology 3577800507
I20250214003286 PA Practitioner - Ophthalmology 3577800507 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT202903PAMDInternal Medicine Physician
MD473975PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Eye Associates CurrentSince Apr 1, 2025 Accepting new patients
Hawaii Vision Specialists LLP Ophthalmology CurrentSince Jul 1, 2025 Accepting new patients
South Hills Eye Associates Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients

Locations

392 Kapiolani St
Hilo, HI 96720
Phone (803) 935-0255

126 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-0255

189 E Pike St
Canonsburg, PA 15317
Phone (724) 745-6258

713 Washington Rd
Pittsburgh, PA 15228
Phone (412) 341-7440

Interoperability endpoints

  • Direct secure messaging: maxine.miller@807.chartlogic.direct-ci.com
  • Direct secure messaging: mmiller@hawaiivision.direct.eyemdemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1245594787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282080",
            "telephone_number": "412-561-1964",
            "fax_number": "412-561-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 WASHINGTON RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282080",
            "telephone_number": "412-561-1964",
            "fax_number": "412-561-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "718-270-1962",
            "fax_number": "718-270-2972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 E Pike St",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153171765",
            "country_code": "US",
            "telephone_number": "724-745-6258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MAXINE",
        "middle_name": "REEDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT202903",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD-22000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD473975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.