Wayne T. Miller, O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004438-1 Issued in NY

Legal business name

WAYNE T. MILLER, O.D., PLLC

Practice address

292 State Route 375
West Hurley, NY 12491-5632

Phone

(845) 679-0393

Fax

(845) 679-0390

NPI assigned

Jul 20, 2006

Last updated

Oct 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne Thomas Miller, O.D.NPI 1114913639

Title

Sole Member

Phone

(845) 679-0393

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne T Miller, O.D.

  • Optometrist
  • West Hurley, NY
  • NPI 1114913639
  Authorized official Same address or phone

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1437179926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 STATE ROUTE 375",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124915632",
            "telephone_number": "845-679-4636",
            "fax_number": "845-679-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 STATE ROUTE 375",
            "city": "WEST HURLEY",
            "state": "NY",
            "postal_code": "124915632",
            "telephone_number": "845-679-0393",
            "fax_number": "845-679-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE T. MILLER, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "845-679-0393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004438-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "906624",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "100356736564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert William Wallace, RN
• Zahava Wilson, M.S.,P.T.
• Nechama Smadar Yaish, LCSW-R

• Optometrist in West Hurley, NY
• Providers in West Hurley, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.