Individual provider Active NPI

Erin Rene Miller

  • Optometrist
  • Mt Pleasant, MI
National Provider Identifier
1619958519
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004155 Issued in MI
Practice address
1230 E Broomfield Rd
Ste 6
Mt Pleasant, MI 48858-9502
Phone
(989) 773-2020
Fax
(989) 772-7757
NPI assigned
Nov 8, 2005
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004155 MI Primary

Addresses

Primary practice location

1230 E Broomfield Rd
Ste 6
Mt Pleasant, MI 48858-9502

Mailing address

1230 E Broomfield Rd
Ste 6
Mt Pleasant, MI 48858-9502
Phone (989) 773-2020

Other identifiers 1

IdentifierTypeStateIssuer
900C710170OtherBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040626000090 MI Practitioner - Optometry 5092791483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abp Eyesite PCGroup PAC ID 1759367147, 4 clinicians

Practice addresses (Care Compare)

1234 E Broomfield St
Suite 6
Mount Pleasant, MI 48858-4490

3181 Sandhill Rd
Mason, MI 48854-9425
Phone (517) 336-6060

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
35
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abp Eyesite PC Optometrist CurrentSince May 1, 2004 Accepting new patients

Locations

1234 E Broomfield St
Ste 6
Mt Pleasant, MI 48858
Phone (989) 773-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1619958519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E BROOMFIELD RD",
            "address_2": "STE 6",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589502",
            "telephone_number": "989-773-2020",
            "fax_number": "989-772-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E BROOMFIELD RD",
            "address_2": "STE 6",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488589502",
            "telephone_number": "989-773-2020",
            "fax_number": "989-772-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERIN",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900C710170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.