Individual provider Active NPI

Anna Joy Miller, O.D.

  • Optometrist
  • West Fargo, ND
National Provider Identifier
1306288147
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
711 Issued in ND
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.

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 25 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000867 ND Practitioner - Optometry 2466696885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Center CurrentSince Nov 1, 2022 Accepting new patients
Family Health Care Center Current Accepting new patients
Family Health Care Center CurrentSince Nov 1, 2022 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)CodeLicenseStatePrimary
Optometrist 152W00000X 711 ND Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.