Individual provider Active NPI

Jason Richard Miller, O.D.

  • Optometrist
  • Powell, OH
National Provider Identifier
1265536403
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5055 Issued in OH
Practice address
9711 Sawmill Pkwy Unit C
Powell, OH 43065-6100
Phone
(614) 793-0700
Fax
(614) 793-0084
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 5055 OH
Sports Vision Optometrist 152WS0006X 5055 OH
Optometrist 152W00000X 5055 OH Primary
Corneal and Contact Management Optometrist 152WC0802X 5055 OH

Addresses

Primary practice location

9711 Sawmill Pkwy Unit C
Powell, OH 43065-6100

Mailing address

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

Other practice location 1

5180 E Main St
Columbus, OH 43213-2436
Phone (614) 866-9002

Other practice location 2

951 E Johnstown Rd
Gahanna, OH 43230-1851
Phone (614) 476-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20080922000622 OH Practitioner - Optometry 2961579644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

265 N Liberty St
Powell, OH 43065-8870
Phone (614) 793-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5055OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist CurrentSince Jan 1, 2001 Accepting new patients
Optometric Management Group Optometrist Current Accepting new patients
Eyecare Marysville Optometrist Current Accepting new patients
Michael S. Berk, O.D. Inc. Optometrist PastSince Dec 15, 2019 Accepting new patients

Locations

3039 Madison Rd
Cincinnati, OH 45209
Phone (513) 651-4005

5823 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-8811

1500 Polaris Pkwy
Columbus, OH 43240
Phone (614) 885-3937

5180 E Main St
Columbus, OH 43213
Phone (614) 866-9002

813 Troy St
Dayton, OH 45404
Phone (937) 228-2020

951 E Johnstown Rd
Gahanna, OH 43230
Phone (614) 476-2015

40 Southmoor Cir NE
Kettering, OH 45429
Phone (937) 228-2020

340 Alexandersville Rd
Miamisburg, OH 45342
Phone (937) 866-3471

142 W Water St
Ste L
Oak Harbor, OH 43449
Phone (419) 898-1918

141 Clint Dr
Pickerington, OH 43147
Phone (614) 575-0111

265 N Liberty St
Unit C
Powell, OH 43065

9713 Sawmill Rd
Powell, OH 43065
Phone (614) 793-0700

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

9711 Sawmill Pkwy
Unit C
Powell, OH 43065
Phone (614) 793-0700

1018 Cheyenne Ave
Springfield, OH 45503
Phone (937) 399-0282

107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1265536403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658870",
            "telephone_number": "614-793-0700",
            "fax_number": "614-793-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 SAWMILL PKWY UNIT C",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656100",
            "telephone_number": "614-793-0700",
            "fax_number": "614-793-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5180 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132436",
            "country_code": "US",
            "telephone_number": "614-866-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 E Johnstown Rd",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432301851",
            "country_code": "US",
            "telephone_number": "614-476-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "5055",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "OH",
            "license": "5055",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5055",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "5055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

Verify at the official NPI Registry.