Dr Larry R Miller Assoc PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1116DT Issued in KY

Legal business name

DR LARRY R MILLER ASSOC PSC

Practice address

3650 Boston Rd
Ste 184
Lexington, KY 40514-1569

Phone

(859) 296-5557

Fax

(859) 224-7766

NPI assigned

May 23, 2011

Last updated

May 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry R Miller

Title

President

Phone

(859) 296-5557

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1649563743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 BOSTON RD",
            "address_2": "STE 184",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141569",
            "telephone_number": "859-296-5557",
            "fax_number": "859-224-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 BOSTON RD",
            "address_2": "STE 184",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141569",
            "telephone_number": "859-296-5557",
            "fax_number": "859-224-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LARRY R MILLER ASSOC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-296-5557",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1116DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011161",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lexington, KY
• Providers in Lexington, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.