Individual provider Active NPI

Matthew Allan Miller, O.D.

  • Optometrist
  • New Port Richey, FL
National Provider Identifier
1669603130
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5004 Issued in FL
Practice address
2020 Seven Springs Blvd
New Port Richey, FL 34655-3933
Phone
(727) 372-1311
Fax
(727) 373-7866
NPI assigned
Aug 2, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5004 FL Primary

Addresses

Primary practice location

2020 Seven Springs Blvd
New Port Richey, FL 34655-3933

Mailing address

2020 Seven Springs Blvd
New Port Richey, FL 34655-3933
Phone (727) 372-1311

Other identifiers 1

IdentifierTypeStateIssuer
P01180750OtherDEPALMETTO GBA RR MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20170519000170 FL Practitioner - Optometry 8527105089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Larry M Perich DO PAGroup PAC ID 8224060553, 11 clinicians

Practice addresses (Care Compare)

2020 Seven Springs Blvd
New Port Richey, FL 34655-3933
Phone (727) 372-1311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5004FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry M. Perich Dopa Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Simon Eye Associates PA Optometrist PastSince Jul 1, 2006 Accepting new patients
Larry M. Perich Dopa Optometrist Past Accepting new patients

Locations

2020 Seven Springs Blvd
New Pt Richey, FL 34655
Phone (727) 372-1311

5363 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 683-1160

11809 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 265-2221

13940 N US Highway 441
Ste 503
The Villages, FL 32159
Phone (352) 397-2821

2621 Windguard Cir
Ste 101
Wesley Chapel, FL 33544
Phone (727) 376-7000

6905 Medical View Ln
Zephyrhills, FL 33542
Phone (813) 788-2020

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1249171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669603130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553933",
            "telephone_number": "727-372-1311",
            "fax_number": "727-373-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553933",
            "telephone_number": "727-372-1311",
            "fax_number": "727-373-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MATTHEW",
        "middle_name": "ALLAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE PTAN",
            "identifier": "P01180750",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.