Ann Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004917 Issued in MI

Practice address

124 E Prairie St
Vicksburg, MI 49097-1257

Phone

(269) 649-0103

Fax

(269) 649-4762

NPI assigned

Jul 17, 2015

Last updated

Mar 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care West, P.C.Group PAC ID 5092700393, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Care West, P.C.

  • Optometrist
  • Sturgis, MI
  • NPI 1508059627
  Medicare reassignment Care Compare group NPD
• Annie Miller PLLC

  • Optometrist
  • Vicksburg, MI
  • NPI 1427729086
  Medicare reassignment NPD

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1609250778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E PRAIRIE ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971257",
            "telephone_number": "269-649-0103",
            "fax_number": "269-649-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E PRAIRIE ST",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490971257",
            "telephone_number": "269-649-0103",
            "fax_number": "269-649-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lan Medical
• Olivia Lewis
• Melanie Elaine Louis Consolino, LLMSW
• Patricia Ann Lyman, PHD
• Brittany Lyons, LMSW
• Kelly Marie Mitchell
• Morton Healthcare PC (Morton Family Chiropractic)
• Dustin Jon Morton, D.C.
• Lyndsay Marie Munoz
• Mary Susan Nason, BSN, RN, ACM

• Optometrist in Vicksburg, MI
• Providers in Vicksburg, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.