Individual provider Active NPI

Scott Alan Miller, O.D.

  • Optometrist
  • Delphi, IN
National Provider Identifier
1306833645
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1-800-3231-B Issued in IN
Practice address
750 E Main St
Delphi, IN 46923-1327
Phone
(765) 564-2800
Fax
(765) 564-2477
NPI assigned
Oct 3, 2005
Last updated
May 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1-800-3231-B IN Primary

Addresses

Primary practice location

750 E Main St
Delphi, IN 46923-1327

Mailing address

PO Box 275
Delphi, IN 46923-0275
Phone (765) 564-2800

Other identifiers 3

IdentifierTypeStateIssuer
000000564779OtherINANTHEM
200899700MedicaidIN
000000574587OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060519000120 IN Practitioner - Optometry 2365453701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Eyecare LTDGroup PAC ID 3173685088, 19 clinicians

Practice addresses (Care Compare)

750 E Main St
Delphi, IN 46923-1327
Phone (765) 564-2800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-800-3231-BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Eyecare LTD. Optometrist CurrentSince May 9, 2008 Accepting new patients
Norman Eyecare LTD. Optometrist CurrentSince May 9, 2008 Accepting new patients
Scott a Miller OD, LLC Optometrist PastSince Jan 1, 1990 Accepting new patients
Norman Eyecare LTD Optometrist Past Accepting new patients

Locations

1303 S Jackson St
Frankfort, IN 46041
Phone (765) 654-8744

3901 W State Road 47
Ste 5
Sheridan, IN 46069
Phone (317) 385-4871

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1306833645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469230275",
            "telephone_number": "765-564-2800",
            "fax_number": "765-564-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E MAIN ST",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231327",
            "telephone_number": "765-564-2800",
            "fax_number": "765-564-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "1-800-3231-B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000564779",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200899700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000574587",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphi, IN

Sources for this page

Verify at the official NPI Registry.