Active NPI
Miller Artificial Eye Laboratory, Inc.
- Ocularist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- 3-O
- Legal business name
- MILLER ARTIFICIAL EYE LABORATORY, INC.
- Practice address
- 3425 Executive Pkwy Ste 108
Toledo, OH 43606-1333 - Phone
- (419) 474-3939
- Fax
- (419) 474-3939
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William J. Hubbell, LICENSED OCULARIST
- Title
- Ocularist
- Phone
- (419) 474-3939
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | 3-O | OH | Primary |
Addresses
Primary practice location
3425 Executive Pkwy Ste 108
Toledo, OH 43606-1333
Mailing address
3425 Executive Pkwy Ste 108
Toledo, OH 43606-1333
Phone (419) 474-3939
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0478648 | Medicaid | OH | |
| 54-0-C3-1003-0 | Other | MI | BCBS ID |
| 10170 | Other | OH | PARAMOUNT ID |
| 861670586 | Medicaid | MI | |
| 000000029779 | Other | OH | ANTHEM BCBS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040813 | OH | DME Supplier - Ocularist | 7719008648 | Practice locations: Toledo, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Miller Artificial Eye Laboratory in | Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
3030 W Sylvania Ave
Ste 13
Toledo, OH 43613
Phone (419) 474-3939
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Toledo, OH
- NPI 1902651656
-
- Ocularist
- Toledo, OH
- NPI 1578318101
-
- Ocularist
- Toledo, OH
- NPI 1134974769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586390400000",
"number": "1669495040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 EXECUTIVE PKWY STE 108",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061333",
"telephone_number": "419-474-3939",
"fax_number": "419-474-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 EXECUTIVE PKWY STE 108",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061333",
"telephone_number": "419-474-3939",
"fax_number": "419-474-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER ARTIFICIAL EYE LABORATORY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A",
"authorized_official_last_name": "HUBBELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OCULARIST",
"authorized_official_telephone_number": "419-474-3939",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LICENSED OCULARIST"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ocularist",
"state": "OH",
"license": "3-O",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0478648",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "54-0-C3-1003-0",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT ID",
"identifier": "10170",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "861670586",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS ID",
"identifier": "000000029779",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.