Active NPI
Robert E Miller, OD
- Optometrist
- East Greenwich, RI
National Provider Identifier
1477580553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00610
- Practice address
- 5393 Post Rd
East Greenwich, RI 02818-3023 - Phone
- (401) 884-6066
- Fax
- (401) 885-2142
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTA00309 | RI | |
| Optometrist | 152W00000X | ODTG00610 | RI | Primary |
Addresses
Primary practice location
5393 Post Rd
East Greenwich, RI 02818-3023
Mailing address
10 Orms St
Suite 110
Providence, RI 02904-2228
Phone (401) 453-0666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9009829 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODTA00309 | RI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Associates Inc | Optometrist | Current | Accepting new patients |
| Vision Associates Inc | Optometrist | Past | Accepting new patients |
Locations
5600 Post Rd
Unit 111
East Greenwich, RI 02818
Phone (401) 885-2166
148 Social St
Woonsocket, RI 02895
Phone (401) 769-2755
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 and National Provider Directory roles.
-
- Optometrist
- Greenville, RI
- NPI 1346296209
-
- Optometrist
- Woonsocket, RI
- NPI 1336405422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1477580553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ORMS ST",
"address_2": "SUITE 110",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042228",
"telephone_number": "401-453-0666",
"fax_number": "401-453-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5393 POST RD",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183023",
"telephone_number": "401-884-6066",
"fax_number": "401-885-2142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTA00309",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9009829",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.