Individual provider Active NPI

Miranda A Collins, O.D.

  • Optometrist
  • Sweetwater, TN
National Provider Identifier
1639308778
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3657 Issued in TN
Practice address
935 Highway 11 S
Sweetwater, TN 37874-5730
Phone
(423) 920-2262
Fax
(423) 558-3213
NPI assigned
Jul 10, 2009
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3657 TN Primary

Addresses

Primary practice location

935 Highway 11 S
Sweetwater, TN 37874-5730

Mailing address

PO Box 129
Sweetwater, TN 37874-0129
Phone (423) 920-2262

Other practice location 1

4495 Keith St NW
Cleveland, TN 37312-4820
Phone (423) 920-2262

Other practice location 2

3034 Rhea County Hwy
Dayton, TN 37321-5806
Phone (423) 920-2262

Other practice location 3

1102 N Gateway Ave
Rockwood, TN 37854-4012
Phone (423) 920-2262

Other names 1

  • Dr. Miranda S Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110208000927 VA Practitioner - Optometry 6002962826 Reassigns benefits to 1 organization
I20210507000370 TN Practitioner - Optometry 6002962826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5350 Clearbrook Village LN
Roanoke, VA 24014-6606
Phone (540) 682-0714

935 Hwy 11 S
Sweetwater, TN 37874-3730
Phone (423) 920-2262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2593OKMDMental Health Counselor
3657TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Eye Care Optometrist CurrentSince Sep 7, 2018 Accepting new patients
Eye One, PLC Optometrist CurrentSince Dec 1, 2012 Accepting new patients
Cherokee Nation Past Accepting new patients
Cherokee Nation PastSince Mar 1, 2021 Accepting new patients
National Optometric Center PLC Optometrist Past Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients
Augusta Eye Associates PLC PastSince Dec 1, 2012 Accepting new patients

Locations

3034 Rhea County Hwy
Dayton, TN 37321
Phone (423) 570-0601

1102 N Gateway Ave
Rockwood, TN 37854
Phone (423) 920-2262

935 Highway 11 S
Sweetwater, TN 37874
Phone (423) 337-3052

17 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 213-7720

4812 Valley View Blvd NW
Roanoke, VA 24012
Phone (540) 366-2208

5350 Clearbrook Village Ln
Roanoke, VA 24014
Phone (540) 682-0714

1500 Commerce Rd
Staunton, VA 24401
Phone (540) 213-7720

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/

Organizations & group practices 7

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1639308778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378740129",
            "telephone_number": "423-920-2262",
            "fax_number": "423-558-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 HIGHWAY 11 S",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378745730",
            "telephone_number": "423-920-2262",
            "fax_number": "423-558-3213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4495 Keith St NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124820",
            "country_code": "US",
            "telephone_number": "423-920-2262",
            "fax_number": "423-558-3213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3034 Rhea County Hwy",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "TN",
            "postal_code": "373215806",
            "country_code": "US",
            "telephone_number": "423-920-2262",
            "fax_number": "423-558-3213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 N Gateway Ave",
            "address_purpose": "LOCATION",
            "city": "Rockwood",
            "state": "TN",
            "postal_code": "378544012",
            "country_code": "US",
            "telephone_number": "423-920-2262",
            "fax_number": "423-558-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MIRANDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "COLLINS",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sweetwater, TN

Sources for this page

Verify at the official NPI Registry.