Mark David Miller P. C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

18002264 Issued in IN

Legal business name

MARK DAVID MILLER P. C.

Practice address

16865 Clover Rd
Noblesville, IN 46060-3640

Phone

(317) 773-1981

Fax

(317) 773-1781

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Miller, O.D.NPI 1205938271

Title

Owner

Phone

(317) 773-1981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Miller, O.D.

  • Corneal and Contact Management Optometrist
  • Noblesville, IN
  • NPI 1205938271
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1548528151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19905 WINDSOR PARK BLVD",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460744328",
            "telephone_number": "317-557-8987",
            "fax_number": "317-773-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16865 CLOVER RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603640",
            "telephone_number": "317-773-1981",
            "fax_number": "317-773-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVID MILLER P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-773-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "18002264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamie Janes Home Care LLC
• Kenneth Alan Mankowski, DO
• Patricia Manley, LCSW
• Danielle Christine Marchi
• Mark D. Woloshin, D.C.,P.C.
• Jillian April Marler, SLP
• Angela Marie Marsden
• John Rhodes Martin, M.D.
• Kamekia Martin
• Nicole Martin, LMHC

• Medical Specialty Clinic/Center in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.