Individual provider Active NPI

Timothy Paul Miller, O.D.

  • Optometrist
  • Concord, CA
National Provider Identifier
1568627610
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13566 Issued in CA
Practice address
3325 Clayton Rd
Concord, CA 94519-2833
Phone
(925) 687-6847
Fax
(925) 687-6847
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13566 CA Primary

Addresses

Primary practice location

3325 Clayton Rd
Concord, CA 94519-2833

Mailing address

3325 Clayton Rd
Concord, CA 94519-2833
Phone (925) 687-6847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160812000873 CA Order and Referring Only - OptometryPractitioner - Optometry 2062574601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13566CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Health Past Accepting new patients
Muir Eye Care PastSince Apr 27, 2025 Accepting new patients
Etwaru Eye Center Past Accepting new patients

Organizations & group practices 3

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1568627610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192833",
            "telephone_number": "925-687-6847",
            "fax_number": "925-687-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192833",
            "telephone_number": "925-687-6847",
            "fax_number": "925-687-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.