Individual provider Active NPI

Aaron Dale Miller, OD

  • Optometrist
  • Zeeland, MI
National Provider Identifier
1366479719
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004229 Issued in MI
Practice address
300 S State St
#15
Zeeland, MI 49464
Phone
(616) 772-9149
Fax
(616) 772-2906
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004229 MI Primary

Addresses

Primary practice location

300 S State St
#15
Zeeland, MI 49464

Mailing address

300 S State St
#15
Zeeland, MI 49464
Phone (616) 772-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040216000716 MI Practitioner - Optometry 6507751989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeeland Vision Services PCGroup PAC ID 4284639469, 6 clinicians

Practice addresses (Care Compare)

300 S State St
Suite 15
Zeeland, MI 49464-1678
Phone (616) 772-9149

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004229MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zeeland Vision Services PC Optometrist CurrentSince Jul 1, 2006 Accepting new patients

Locations

300 S State St
Ste 15
Zeeland, MI 49464
Phone (616) 772-9149

Organizations & group practices 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1366479719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S STATE ST",
            "address_2": "#15",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "49464",
            "telephone_number": "616-772-9149",
            "fax_number": "616-772-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S STATE ST",
            "address_2": "#15",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "49464",
            "telephone_number": "616-772-9149",
            "fax_number": "616-772-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AARON",
        "middle_name": "DALE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.