Organization Active NPI

Edward C Miller OD PA

  • Optometrist
  • Dania, FL
National Provider Identifier
1447587662
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1768 Issued in FL
Legal business name
EDWARD C MILLER OD PA
Practice address
1780 Stirling Rd. #101
Dania, FL 33004
Phone
(954) 920-9243
Fax
(954) 920-5718
NPI assigned
Nov 9, 2009
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Edward C Miller, ODNPI 1952396293
Title
Owner
Phone
(954) 921-7470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1768 FL Primary

Addresses

Primary practice location

1780 Stirling Rd. #101
Dania, FL 33004

Mailing address

260 Crandon Blvd
32-224
Key Biscayne, FL 33149-1536
Phone (954) 921-7470

National Provider Directory

National Provider Directory

Locations

260 Crandon Blvd
#32224
Key Biscayne, FL 33149

260 Crandon Blvd
Ste 32224
Key Biscayne, FL 33149

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1447587662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CRANDON BLVD",
            "address_2": "32-224",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491536",
            "telephone_number": "954-921-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 STIRLING RD. #101",
            "city": "DANIA",
            "state": "FL",
            "postal_code": "33004",
            "telephone_number": "954-920-9243",
            "fax_number": "954-920-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C MILLER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-921-7470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dania, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.