Active NPI
Susan Harrington Miller, O.D.
- Optometrist
- Butler, MO
National Provider Identifier
1518933043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03247
- Practice address
- 204 W Chestnut St
Butler, MO 64730-1554 - Phone
- (660) 679-3261
- Fax
- (660) 679-6213
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03247 | MO | Primary |
Addresses
Primary practice location
204 W Chestnut St
Butler, MO 64730-1554
Mailing address
204 W Chestnut St
PO Box 47
Butler, MO 64730-1554
Phone (660) 679-3261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318165117 | Medicaid | MO | |
| 22386037 | Other | MO | BLUECROSSBLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 W Chestnut St
Butler, MO 64730-1554
Phone (660) 679-3261
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T03247 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noe, Miller & Miller, LLC | Optometrist | Current | Accepting new patients |
| Mid America Eye Center PA | Optometrist | Past | Accepting new patients |
Locations
204 W Chestnut St
Butler, MO 64730
Phone (660) 679-3261
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 and National Provider Directory roles.
-
- Optometrist
- Butler, MO
- NPI 1417974411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1518933043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W CHESTNUT ST",
"address_2": "PO BOX 47",
"city": "BUTLER",
"state": "MO",
"postal_code": "647301554",
"telephone_number": "660-679-3261",
"fax_number": "660-679-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W CHESTNUT ST",
"city": "BUTLER",
"state": "MO",
"postal_code": "647301554",
"telephone_number": "660-679-3261",
"fax_number": "660-679-6213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SUSAN",
"middle_name": "HARRINGTON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "318165117",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "22386037",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.