Miller Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

WI2195 Issued in WI

Legal business name

MILLER OPTOMETRY, INC.

Practice address

5102 S Packard Ave
Cudahy, WI 53110-1922

Phone

(414) 769-6120

Fax

(414) 769-6998

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Way Miller, O.D.

Title

Optometrist

Phone

(414) 769-6120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VisionHealth Eyecare Center Doing business as

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1497818314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101922",
            "telephone_number": "414-769-6120",
            "fax_number": "414-769-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 S PACKARD AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101922",
            "telephone_number": "414-769-6120",
            "fax_number": "414-769-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "414-769-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "WI2195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38532100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionHealth Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanne McCarthy, LCSW
• Shana McClone
• Anna Victoria Meier
• Susan Angel Meinerz
• Kathryn Merkel, APNP
• Richard Way Miller, O.D.
• Milwaukee Medical Transportation, LLC
• Jamie Kristin Mullin, MD
• Brienn Murray, FNP
• Myeyedr Optometry of Wisconsin, LLC

• Optometrist in Cudahy, WI
• Providers in Cudahy, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.