Individual provider Active NPI

Monica Miller

  • Optometrist
  • Bellingham, MA
National Provider Identifier
1306485255
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5401 Issued in MA
Practice address
249 Hartford Ave SPC A170
Bellingham, MA 02019-3007
Phone
(617) 988-8136
NPI assigned
Dec 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5401 MA Primary

Addresses

Primary practice location

249 Hartford Ave SPC A170
Bellingham, MA 02019-3007

Mailing address

249 Hartford Ave SPC A170
Bellingham, MA 02019-3007
Phone (617) 988-8136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200806001821 MA Practitioner - Optometry 3375968464 Reassigns benefits to 1 organization
I20230907001591 CT Practitioner - Optometry 3375968464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Eye LLCGroup PAC ID 5496163545, 10 clinicians

Practice addresses (Care Compare)

249 Hartford Ave
SPC A170
Bellingham, MA 02019-3007
Phone (774) 295-2019

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 870-6337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5401MAMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City Eye, LLC Optometrist CurrentSince Mar 26, 2021 Accepting new patients
Luxottica of America Inc PastSince Mar 26, 2021 Accepting new patients
GSM Park Square, LLC Optometrist PastSince Dec 1, 2019 Accepting new patients
Zachary Jost OD Inc PC Optometrist PastSince Aug 22, 2022 Accepting new patients

Locations

850 Washington St
Middletown, CT 06457
Phone (860) 347-4664

35 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 870-6337

249 Hartford Ave
Spc A170
Bellingham, MA 02019
Phone (774) 295-2018

450 Washington St
Boston, MA 02111
Phone (617) 988-0607

21 Torrey St
Brockton, MA 02301
Phone (508) 580-8901

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": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1306485255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 HARTFORD AVE SPC A170",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020193007",
            "telephone_number": "617-988-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 HARTFORD AVE SPC A170",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020193007",
            "telephone_number": "617-988-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, MA

Sources for this page

Verify at the official NPI Registry.