Mark Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT1837 Issued in CO

Practice address

450 S Camino del Rio
Suite 101
Durango, CO 81301-6856

Phone

(970) 247-3613

Fax

(970) 247-5823

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

High Country Optical, IncGroup PAC ID 5698664639, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• High Country Optical, Inc

  • Optometrist
  • Durango, CO
  • NPI 1477602621
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1255528873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S CAMINO DEL RIO",
            "address_2": "SUITE 101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016856",
            "telephone_number": "970-247-3613",
            "fax_number": "970-247-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S CAMINO DEL RIO",
            "address_2": "SUITE 101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016856",
            "telephone_number": "970-247-3613",
            "fax_number": "970-247-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT1837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08918377",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodie Miller, LCSW, LAC
• John Carlyle Miller, DPM
• Josette M Miller, DO
• Kelly Lang Miller, MD.
• Linda L Miller, RN
• Melissa Miller, MOT, OTR/L
• Morgan Tanner Miller, OD
• Janis Milliet, PT
• Christopher Paul Mills, DO
• Mindful Mountain Healing

• Optometrist in Durango, CO
• Providers in Durango, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.

Verify at the official NPI Registry.