Active NPI
Anna Joy Miller, O.D.
- Optometrist
- West Fargo, ND
National Provider Identifier
1306288147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 711
- Practice address
- 750 23Rd Ave E
West Fargo, ND 58078-7804 - Phone
- (701) 281-2237
- NPI assigned
- Jul 22, 2013
- Sex
- Female
- Sole proprietor
- No
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.
-
- Federally Qualified Health Center (FQHC)
- Moorhead, MN
- NPI 1992559645
-
- Federally Qualified Health Center (FQHC)
- Lamoure, ND
- NPI 1689350415
-
- Federally Qualified Health Center (FQHC)
- Valley City, ND
- NPI 1750876124
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Care Center
Practice addresses (Care Compare)
301 NP Ave N
Fargo, ND 58102-4835
Phone (701) 271-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130924000867 | ND | Practitioner - Optometry | 2466696885 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Care Center | Current | Accepting new patients | |
| Family Health Care Center | Current | Accepting new patients | |
| Family Health Care Center | Current | Accepting new patients |
Locations
301 Np Ave N
Fargo, ND 58102
4025 9th Ave S
Fargo, ND 58103
Phone (701) 551-2446
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 711 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
750 23Rd Ave E
West Fargo, ND 58078-7804
Mailing address
750 23Rd Ave E
West Fargo, ND 58078-7804
Phone (701) 281-2237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2013.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1306288147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 23RD AVE E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580787804",
"telephone_number": "701-281-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 23RD AVE E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580787804",
"telephone_number": "701-281-2237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANNA",
"middle_name": "JOY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-22",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.