Kathryn Elaine Miller, DO, MBA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS13933 Issued in FL

Practice address

11195 S Jog Rd Ste 1&2
Boynton Beach, FL 33437-1829

Phone

(561) 752-0075

NPI assigned

Mar 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Lincoln Memorial University Medical Department, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Eye and Plastic Surgery Associates IncGroup PAC ID 9638195787, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/doctorsoft_specialtyretinacenter

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.

• Florida Eye & Plastic Surgery Associates Inc

  • Ophthalmology Physician
  • Boynton Beach, FL
  • NPI 1467497529
  Medicare reassignment Care Compare group
• South Florida Vision Associates, LLC

  • Ophthalmology Physician
  • Fort Lauderdale, FL
  • NPI 1275949653
  Medicare reassignment NPD
• Specialty Retina Center LLC

  • Ophthalmology Physician
  • Deerfield Beach, FL
  • NPI 1689807232
  Medicare reassignment NPD
• Weston Laser & Vision Institute, Inc

  • Ophthalmology Physician
  • Weston, FL
  • NPI 1568642676
  Medicare reassignment

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1346581634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD STE 1&2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11195 S JOG RD STE 1&2",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334371829",
            "telephone_number": "561-752-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHRYN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "DO, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "UO3322",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS13933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Miller, PTA
• Amy S Miller, M.S., CCC-SLP
• Daryll Anthony Miller
• Jarad Steven Miller, MS, CNIM
• Jennifer Farrah Miller, MS, LMFT, LMHC
• Michele Miller, OTRL
• Mitchell Miller, DDS
• Racquel Georgette Millines
• Mills Senior Care Services, Inc
• Ellen Gayle Mills

• Ophthalmology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.