Individual provider Active NPI

Corey Jackson Miller, M.D.

  • Cornea and External Diseases Specialist Physician
  • Salt Lake City, UT
National Provider Identifier
1538600762
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
12770968-1205 Issued in UT
Practice address
1485 E 3900 S Ste 103
Salt Lake City, UT 84124-1464
Phone
(801) 277-1087
Fax
(801) 277-6742
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 68839 MN
Student in an Organized Health Care Education/Training Program 390200000X
Cornea and External Diseases Specialist Physician 207WX0120X 12770968-1205 UT Primary

Addresses

Primary practice location

1485 E 3900 S Ste 103
Salt Lake City, UT 84124-1464

Mailing address

1485 E 3900 S Ste 103
Salt Lake City, UT 84124-1464
Phone (801) 277-1087

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.slceyes.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913003654 UT Practitioner - Ophthalmology 5496024218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1485 E 3900
Salt Lake City, UT 84124-1438
Phone (801) 277-1087

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as individual
Quality
97.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Corey a Miller MD PC Ophthalmology CurrentSince Aug 15, 2022 Accepting new patients

Locations

1485 E 3900 S
Ste 103
Salt Lake Cty, UT 84124
Phone (801) 277-1087

1485 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 277-1087

Interoperability endpoints

  • Direct secure messaging: cmiller@coreymiller.intellechartdirect.net

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1538600762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 E 3900 S STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241464",
            "telephone_number": "801-277-1087",
            "fax_number": "801-277-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 E 3900 S STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241464",
            "telephone_number": "801-277-1087",
            "fax_number": "801-277-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COREY",
        "middle_name": "JACKSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "68839",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "UT",
            "license": "12770968-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.slceyes.com",
            "affiliation": "N",
            "address_1": "1485 E 3900 S Ste 103",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841241464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.