Active NPI
Tommy Joe Miller, O.D.
- Optometrist
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH 3364
- Practice address
- 1723 Marion Mount Gilead Rd
Marion, OH 43302-7842 - Phone
- (740) 387-6880
- Fax
- (740) 387-7443
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OH 3364 | OH | Primary |
Addresses
Primary practice location
1723 Marion Mount Gilead Rd
Marion, OH 43302-7842
Mailing address
7740 Mills Rd
Ostrander, OH 43061-9425
Phone (614) 270-8676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1723 Marion Mount Gilead Rd
Marion, OH 43302-7842
Phone (740) 387-6880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH 3364 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Ohio, LLC | Optometrist | Current | Accepting new patients |
Locations
1723 Marion Mount Gilead Rd
Marion, OH 43302
Phone (740) 387-6880
8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Interoperability endpoints
- tmiller015209@myeyedr.emadirect.md
Organizations & group practices 2
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": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1407901143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7740 MILLS RD",
"city": "OSTRANDER",
"state": "OH",
"postal_code": "430619425",
"telephone_number": "614-270-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 MARION MOUNT GILEAD RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027842",
"telephone_number": "740-387-6880",
"fax_number": "740-387-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TOMMY",
"middle_name": "JOE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OH 3364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.