Individual provider Active NPI

Garet Chayce Miliner, OD

  • Optometrist
  • Northfield, MN
National Provider Identifier
1376111971
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3728 Issued in MN
Practice address
2019 Jefferson Rd Ste a
Northfield, MN 55057-3258
Phone
(507) 645-9202
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3728 MN Primary

Addresses

Primary practice location

2019 Jefferson Rd Ste a
Northfield, MN 55057-3258

Mailing address

514 Littleford LN
Faribault, MN 55021-3117

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Revolution Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20210628000191 MN Practitioner - Optometry 7113328295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Eye Associates Inc.Group PAC ID 7810897964, 3 clinicians

Practice addresses (Care Compare)

2019 Jefferson Rd
Suite a
Northfield, MN 55057-3258
Phone (507) 645-9202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Eye Associates, Inc Optometrist CurrentSince Jun 14, 2021 Accepting new patients

Locations

2019 Jefferson Rd
Northfield, MN 55057
Phone (507) 645-9202

2019 Jefferson Rd
Ste A
Northfield, MN 55057
Phone (507) 645-6565

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1376111971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 LITTLEFORD LN",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550213117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 JEFFERSON RD STE A",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573258",
            "telephone_number": "507-645-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILINER",
        "first_name": "GARET",
        "middle_name": "CHAYCE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Revolution",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2019 Jefferson Rd Ste A",
            "city": "Northfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550573258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

Verify at the official NPI Registry.