Individual provider Active NPI

James Miller, O.D.

  • Optometrist
  • Sylacauga, AL
National Provider Identifier
1477635613
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S800TA312 Issued in AL
Practice address
6 N Elm Ave
Sylacauga, AL 35150-2426
Phone
(205) 636-9283
Fax
(256) 405-0775
NPI assigned
Oct 19, 2006
Last updated
Dec 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S800TA312 AL Primary

Addresses

Primary practice location

6 N Elm Ave
Sylacauga, AL 35150-2426

Mailing address

4056 Milners Cres
Birmingham, AL 35242-7303
Phone (256) 369-2838

Other identifiers 1

IdentifierTypeStateIssuer
10105227MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000568 AL Practitioner - Optometry 5991733503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Landreth and Associates IncGroup PAC ID 1850479684, 3 clinicians

Practice addresses (Care Compare)

3519 Watermelon Rd
Northport, AL 35473-5174
Phone (205) 758-0242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Landreth & Associates Inc Optometrist CurrentSince May 1, 2024 Accepting new patients
Landreth & Associates Inc Optometrist Past Accepting new patients

Locations

659 Tuscaloosa St
Greensboro, AL 36744
Phone (334) 624-3066

3519 Watermelon Rd
Northport, AL 35473
Phone (205) 345-1520

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1477635613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 MILNERS CRES",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427303",
            "telephone_number": "256-369-2838",
            "fax_number": "256-406-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N ELM AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502426",
            "telephone_number": "205-636-9283",
            "fax_number": "256-405-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S800TA312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10105227",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

Verify at the official NPI Registry.