Individual provider Active NPI

Brett Ashton Miller, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1417206913
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2294 Issued in NC
Practice address
8111 Creedmoor Rd
Raleigh, NC 27613-4389
Phone
(919) 301-8866
Fax
(919) 896-6502
NPI assigned
Aug 30, 2012
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2294 NC Primary
Vision Therapy Optometrist 152WV0400X 2294 NC

Addresses

Primary practice location

8111 Creedmoor Rd
Raleigh, NC 27613-4389

Mailing address

2216 E NC Highway 54
Durham, NC 27713-2208
Phone (919) 544-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130405000301 NC Practitioner - Optometry 4587809900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

2216 E NC Hwy 54
Durham, NC 27713-2208
Phone (919) 544-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2294NCMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Optometric Center PA Optometrist CurrentSince Feb 28, 2013 Accepting new patients
Cary Eye Center Optometry PA Vision Therapy PastSince Nov 20, 2000 Accepting new patients

Locations

1398 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 467-3237

1398 Kildaire Farm Rd
Ste 100
Cary, NC 27511
Phone (919) 467-3238

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

Interoperability endpoints

  • Direct secure messaging: brett.miller@direct.revolutionehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1417206913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132208",
            "telephone_number": "919-544-2020",
            "fax_number": "919-433-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CREEDMOOR RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134389",
            "telephone_number": "919-301-8866",
            "fax_number": "919-896-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRETT",
        "middle_name": "ASHTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2294",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NC",
            "license": "2294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.