Active NPI
Gabriela Miller, O.D.
- Optometrist
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0991
- Practice address
- 18310 Montgomery Village Ave Ste 140
Gaithersburg, MD 20879-3556 - Phone
- (301) 869-4070
- Fax
- (301) 869-0397
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA0991 | MD | Primary |
Addresses
Primary practice location
18310 Montgomery Village Ave Ste 140
Gaithersburg, MD 20879-3556
Mailing address
18310 Montgomery Village Ave Ste 140
Gaithersburg, MD 20879-3556
Phone (301) 869-4070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590444YQE8 | Other | MD | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18310 Montgomery Village Ave
Suite 140
Gaithersburg, MD 20879-3556
Phone (301) 869-4070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Maryland Professional LLC | Optometrist | Current | Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
18310 Montgomery Village Ave
Ste 140
Gaithersburg, MD 20879
Phone (301) 698-4070
Organizations & group practices 2
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.
-
dba Montgomery village Eye Center
- Optometrist
- Gaithersburg, MD
- NPI 1871937268
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1649349457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18310 MONTGOMERY VILLAGE AVE STE 140",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793556",
"telephone_number": "301-869-4070",
"fax_number": "301-869-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18310 MONTGOMERY VILLAGE AVE STE 140",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793556",
"telephone_number": "301-869-4070",
"fax_number": "301-869-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GABRIELA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA0991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "590444YQE8",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.