Laurence Irwin Miller, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

33564 Issued in MO

Practice address

506 Rosewood Dr
Kirksville, MO 63501-2437

Phone

(660) 665-1223

Fax

(660) 665-2566

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Optometry PAGroup PAC ID 0941359533, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment Care Compare group NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment NPD
• Konowal Vision Inc

  • Ophthalmology Physician
  • Estero, FL
  • NPI 1639110570
  Medicare reassignment NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Cape Coral Eye Center, P.a.

  • Optometrist
  • Cape Coral, FL
  • NPI 1427067438

  Ophthalmology

  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1316937097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012437",
            "telephone_number": "660-665-1223",
            "fax_number": "660-665-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012437",
            "telephone_number": "660-665-1223",
            "fax_number": "660-665-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURENCE",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "33564",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "02394",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "36470",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0945857",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "13028",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Physician Services, LLC
• Miller and Collins LLC
• Elizabeth Anne Miller, M.A., LPC
• Jaimee Miller, BCBA
• Jessica Miller
• Melissa Dawn Miller, PTA
• Morgan Miller
• Roger David Millhouse, DO
• John Minton, DO
• Mobile Podiatry of Kansas, LLC

• Ophthalmology Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.

Verify at the official NPI Registry.