NPIMap

Organization Active NPI

Dawn M. Miller,O.D.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1417127358
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7765 Issued in CA
Legal business name
DAWN M. MILLER,O.D.
Practice address
12966 Main St
Garden Grove, CA 92840-5115
Phone
(714) 530-5720
Fax
(714) 530-1465
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Dr. Dawn M Miller, O.D.NPI 1760435580
Title
Owner
Phone
(714) 530-5720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7765 CA Primary

Addresses

Primary practice location

12966 Main St
Garden Grove, CA 92840-5115

Mailing address

12966 Main St
Garden Grove, CA 92840-5115
Phone (714) 530-5720

National Provider Directory

National Provider Directory

Locations

12966 Main St
Garden Grove, CA 92840
Phone (714) 530-5720

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1417127358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 MAIN ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405115",
            "telephone_number": "714-530-5720",
            "fax_number": "714-530-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 MAIN ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405115",
            "telephone_number": "714-530-5720",
            "fax_number": "714-530-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN M. MILLER,O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-530-5720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.