Active NPI
John David Miller, O.D.
- Optometrist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000863
- Practice address
- 4343 Shallowford Rd
Suite F-1
Marietta, GA 30062-5023 - Phone
- (770) 640-7800
- Fax
- (770) 640-7779
- NPI assigned
- Jan 17, 2007
- 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 | OPT000863 | GA | Primary |
Addresses
Primary practice location
4343 Shallowford Rd
Suite F-1
Marietta, GA 30062-5023
Mailing address
4343 Shallowford Rd
Suite F-1
Marietta, GA 30062-5023
Phone (770) 640-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11690 Alpharetta Hwy
Roswell, GA 30076-3805
Phone (770) 475-5515
3960 Shallowford Rd
Suite a
Marietta, GA 30062-5058
Phone (770) 642-4001
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000863 | GA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Current | Accepting new patients | |
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
Locations
3960 Shallowford Rd
Ste A
Marietta, GA 30062
Phone (770) 642-4001
11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515
5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507
Interoperability endpoints
- jmiller@teg.emadirect.md
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.
-
dba Thomas Eye Group
- Ophthalmology Physician
- Sandy Springs, GA
- NPI 1548271992
Optometrist
-
- Optometrist
- Marietta, GA
- NPI 1336412717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275685554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 SHALLOWFORD RD",
"address_2": "SUITE F-1",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625023",
"telephone_number": "770-640-7800",
"fax_number": "770-640-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 SHALLOWFORD RD",
"address_2": "SUITE F-1",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625023",
"telephone_number": "770-640-7800",
"fax_number": "770-640-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOHN",
"middle_name": "DAVID",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.