Samantha Ali Miletta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00728600 Issued in NJ

Practice address

211 Buck St
Millville, NJ 08332-3817

Phone

(856) 825-1011

Fax

(856) 327-1333

NPI assigned

Jun 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• South Jersey Eye Associates PA

  • Optometrist
  • Bridgeton, NJ
  • NPI 1366438939
  NPD
• Dr. Lynne M. Porreca

  • Eyewear Supplier
  • Millville, NJ
  • NPI 1114195625
  NPD (past)

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1497597066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023635",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BUCK ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323817",
            "telephone_number": "856-825-1011",
            "fax_number": "856-327-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Laurel Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "083023635",
            "country_code": "US",
            "telephone_number": "856-455-5500",
            "fax_number": "856-455-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILETTA",
        "first_name": "SAMANTHA",
        "middle_name": "ALI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00728600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-Trans Corporation
• Vijay G Menghani, MS(PHARMACY)
• Merakey New Jersey
• Merakey New Jersey
• Rosalyn Bernice Miles, LSW , LCADC
• Carol L. Miller, LCSW, MFT
• Millville Board of Education
• Millville Chiropractic Center
• Millville Family Dental PA
• Millville Internal and Specialty Medicine LLC

• Optometrist in Millville, NJ
• Providers in Millville, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.