Individual provider Active NPI

Alexus Miller, OD

  • Optometrist
  • Cedar Bluff, VA
National Provider Identifier
1538055017
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003508 Issued in VA
Practice address
2308 Cedar Valley Dr
Cedar Bluff, VA 24609-9302
Phone
(276) 964-4171
NPI assigned
Jun 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003508 VA Primary

Addresses

Primary practice location

2308 Cedar Valley Dr
Cedar Bluff, VA 24609-9302

Mailing address

1020 Terrace Dr Ste 100
Marion, VA 24354-4392
Phone (276) 783-5157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250627002446 VA Practitioner - Optometry 1052824620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Professional Group PLLCGroup PAC ID 5799040184, 11 clinicians

Practice addresses (Care Compare)

2308 Cedar Valley Dr
Cedar Bluff, VA 24609-9302
Phone (276) 964-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003508VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Professional Group, PLLC CurrentSince Jun 16, 2025 Accepting new patients

Locations

699 McBroom St NW
Ste A
Abingdon, VA 24210
Phone (276) 628-1143

699 McBroom St NW
Abingdon, VA 24210
Phone (276) 628-1134

2308 Cedar Valley Dr
Cedar Bluff, VA 24609
Phone (276) 963-9616

1020 Terrace Dr
Ste 100
Marion, VA 24354
Phone (276) 783-5157

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": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1538055017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR STE 100",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 CEDAR VALLEY DR",
            "city": "CEDAR BLUFF",
            "state": "VA",
            "postal_code": "246099302",
            "telephone_number": "276-964-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALEXUS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Bluff, VA

Sources for this page

Verify at the official NPI Registry.