Individual provider Active NPI

Ronald W Milam, O.D.

  • Optometrist
  • Statesville, NC
National Provider Identifier
1528038510
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MMM0066616 Issued in NC
Practice address
303 Davie Ave
Statesville, NC 28677-5318
Phone
(704) 872-8677
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MMM0066616 NC Primary

Addresses

Primary practice location

303 Davie Ave
Statesville, NC 28677-5318

Mailing address

303 Davie Ave
Statesville, NC 28677-5318
Phone (704) 873-4681

Other identifiers 1

IdentifierTypeStateIssuer
8909636MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000649 NC Practitioner - Optometry 9739370685 Reassigns benefits to 1 organization
Practice locations: Statesville, NC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Melanie S Kiser PCGroup PAC ID 3375784564, 4 clinicians

Practice addresses (Care Compare)

1960 US Hwy 70 SE
Suite 199
Hickory, NC 28602-5098
Phone (828) 323-8833

303 Davie Ave
Statesville, NC 28677-5318
Phone (704) 873-4681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Melanie S. Kiser PC Optometrist CurrentSince Jun 19, 2025 Accepting new patients

Locations

1960 US Highway 70 SE
Ste 199
Hickory, NC 28602
Phone (828) 323-8833

Organizations & group practices 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1528038510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775318",
            "telephone_number": "704-873-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775318",
            "telephone_number": "704-872-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "RONALD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "MMM0066616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909636",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.