Organization Active NPI

Scott a Miller OD, LLC

  • Optometrist
  • Plainfield, IN
National Provider Identifier
1457700130
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003231A Issued in IN
Legal business name
SCOTT A MILLER OD, LLC
Practice address
2373 E Main St
Plainfield, IN 46168-2717
Phone
(317) 839-0713
Fax
(317) 837-4093
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Scott Miller, ODNPI 1306833645
Title
Owner
Phone
(317) 758-6162

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 18003231A IN Primary

Addresses

Primary practice location

2373 E Main St
Plainfield, IN 46168-2717

Mailing address

3901 W State Road 47 Ste 5
Sheridan, IN 46069-9256
Phone (317) 758-6162

National Provider Directory

National Provider Directory

Locations

3901 W State Road 47
Ste 5
Sheridan, IN 46069
Phone (317) 385-4871

Practitioners & affiliated clinicians

Practitioners 1

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": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1457700130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W STATE ROAD 47 STE 5",
            "city": "SHERIDAN",
            "state": "IN",
            "postal_code": "460699256",
            "telephone_number": "317-758-6162",
            "fax_number": "317-758-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 E MAIN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682717",
            "telephone_number": "317-839-0713",
            "fax_number": "317-837-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A MILLER OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-758-6162",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003231A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.