Organization Active NPI

Jill Miller

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1619207495
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000939 Issued in PA
Legal business name
JILL MILLER
Practice address
4600 Jonestown Rd
Harrisburg, PA 17109-6214
Phone
(717) 545-6470
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Jill Miller, ODNPI 1811957319
Title
Owner
Phone
(717) 545-6470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000939 PA Primary

Addresses

Primary practice location

4600 Jonestown Rd
Harrisburg, PA 17109-6214

Mailing address

4600 Jonestown Rd
Harrisburg, PA 17109-6214

National Provider Directory

National Provider Directory

Locations

4600 Jonestown Rd
Harrisburg, PA 17109
Phone (717) 540-4070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1619207495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 JONESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171096214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JONESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171096214",
            "telephone_number": "717-545-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-545-6470",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.