Richard E Miller Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 0002686 Issued in FL

Practice address

1371 Town Center Dr
Lakeland, FL 33803-7964

Phone

(863) 688-4001

Fax

(863) 413-0227

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1497855068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 ASHTON OAKS CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338135658",
            "telephone_number": "863-513-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 TOWN CENTER DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338037964",
            "telephone_number": "863-688-4001",
            "fax_number": "863-413-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 0002686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "911470",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucas Miller
• Luke Michael Miller, MD
• Madeline Miller
• Nicole Margaret Miller, DPT
• Randel K Miller, MD
• Thomas Bryant Miller, LMHC
• Vanessa Miller
• Amanda Millican
• Kamiah Nicole Milliner
• Trinita Lafaye Mills-Ross, LPN

• Optometrist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.