Jacqueline Miller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003427 Issued in CO

Practice address

1140 Edwards Village Blvd.
Suite B206
Edwards, CO 81632

Phone

(970) 926-8474

Fax

(970) 926-3634

NPI assigned

Oct 23, 2018

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 CO

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

International American University at Puerto Rico - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

2020 Eye Care PLLCGroup PAC ID 0345131181, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• 2020 Eye Care PLLC

  • Optometrist
  • Glenwood Springs, CO
  • NPI 1710061593
  Medicare reassignment Care Compare group NPD
• Gary S Holtzman PC

  • Optometrist
  • Denver, CO
  • NPI 1427104538
  NPD
• 2020 Eye Care PLLC

  • Optometrist
  • Carbondale, CO
  • NPI 1104584069
  NPD (past)

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1629544127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 544",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816320544",
            "telephone_number": "970-926-8474",
            "fax_number": "970-926-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EDWARDS VILLAGE BLVD.",
            "address_2": "SUITE B206",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-926-8474",
            "fax_number": "970-926-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACQUELINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Joy Mattson, L. AC
• Douglas Mayeda, MD
• Meredith Bizer Counseling, LLC
• Benjamin Ross Merenbloom, DDS
• Adriana Melissa Meyer, NP
• Robbin Miller
• Sean Matthew Miller, DC
• Kathryn Milliet, PT, DPT
• Sheri A Mintz, LCSW
• Modern Dental Associates

• Optometrist in Edwards, CO
• Providers in Edwards, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.