Active NPI
Stanley David Miller, O.D., M.S., FAAO
- Optometrist
- Weston, MA
National Provider Identifier
1477616423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2263
- Practice address
- 56 Colpitts Rd
Eye & Optical
Weston, MA 02493-1568 - Phone
- (781) 899-7751
- Fax
- (000) 000-0000
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2263 | MA | Primary |
Addresses
Primary practice location
56 Colpitts Rd
Eye & Optical
Weston, MA 02493-1568
Mailing address
9 Bemis St
Weston, MA 02493-1701
Phone (781) 899-7751
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 757526 | Other | TUFTS HEALTH PLAN ID | |
| W15986 | Other | MA | BCBS OF MASS |
| 0891138 OR B2119401 | Other | MA | CIGNA HEALTH CARE |
| 2569545 | Other | US HEALTH AETNA | |
| 152625 | Other | MA | HARVARD PILGRIM HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2263 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477616423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BEMIS ST",
"city": "WESTON",
"state": "MA",
"postal_code": "024931701",
"telephone_number": "781-899-7751",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 COLPITTS RD",
"address_2": "EYE & OPTICAL",
"city": "WESTON",
"state": "MA",
"postal_code": "024931568",
"telephone_number": "781-899-7751",
"fax_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STANLEY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D., M.S., FAAO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN ID",
"identifier": "757526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MASS",
"identifier": "W15986",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH CARE",
"identifier": "0891138 OR B2119401",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH AETNA",
"identifier": "2569545",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "152625",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.