Individual provider Active NPI

Celestine Rose Miller, OD

  • Optometrist
  • Alliance, OH
National Provider Identifier
1497589683
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007307 Issued in OH
Practice address
985 S Sawburg Ave
Alliance, OH 44601-3515
Phone
(330) 823-1680
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007307 OH Primary

Addresses

Primary practice location

985 S Sawburg Ave
Alliance, OH 44601-3515

Mailing address

49571 Ash CT
Plymouth, MI 48170-6380
Phone (734) 277-1915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925003310 OH Practitioner - Other (Non-Physician) 3870098221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pajka Eye Center IncGroup PAC ID 6305874710, 5 clinicians

Practice addresses (Care Compare)

855 W Market St
Suite a
Lima, OH 45805-2764
Phone (419) 228-7432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007307OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pajka Eye Center Inc CurrentSince Sep 12, 2025 Accepting new patients
Pajka Eye Center Inc CurrentSince Sep 12, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

855 W Market St
Ste A
Lima, OH 45805
Phone (419) 224-1224

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1497589683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49571 ASH CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706380",
            "telephone_number": "734-277-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 S SAWBURG AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446013515",
            "telephone_number": "330-823-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CELESTINE",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.