Organization Active NPI

Miller & Ransberger Ods

  • Optometrist
  • Exeter, CA
National Provider Identifier
1669658167
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7283TPG Issued in CA
Legal business name
MILLER & RANSBERGER ODS
Practice address
400 E Pine St
Exeter, CA 93221-1844
Phone
(559) 592-3121
Fax
(559) 592-3766
NPI assigned
Jan 14, 2008
Organization subpart
Yes
Parent organization
MILLER & RANSBERGER ODSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Paulina Lopez
Title
Office Manager
Phone
(559) 592-3121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 5441TPG CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 7283TPG CA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 14924TLG CA

Addresses

Primary practice location

400 E Pine St
Exeter, CA 93221-1844

Mailing address

400 E Pine St
P.O. Box 367
Exeter, CA 93221-1844
Phone (559) 592-3121

Other identifiers 4

IdentifierTypeStateIssuer
6563640MedicaidCA
4643714MedicaidCA
567276MedicaidCA
6276614MedicaidCA

Other names 2

  • MILLER & RANSBERGER ODS Doing business as
  • MILLER AND NARAHARA ODS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090604000123 CA Part B Supplier - Clinic/Group Practice 6103976634 Receives reassigned benefits from 3 practitioners
Practice locations: Exeter, CA
O20100930098121 CA DME Supplier - Physician - Optometrist 6103976634 Practice locations: Exeter, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Miller & Ransberger Ods400 E Pine St, Exeter, CA 93221-1844(559) 592-3121 Ocular Prostheses|Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Apr 27, 2009

National Provider Directory

National Provider Directory
Part of
Robert K Narahara OD

Locations

400 E Pine St
Exeter, CA 93221
Phone (559) 592-3121

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1669658167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E PINE ST",
            "address_2": "P.O. BOX 367",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211844",
            "telephone_number": "559-592-3121",
            "fax_number": "559-592-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PINE ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211844",
            "telephone_number": "559-592-3121",
            "fax_number": "559-592-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER & RANSBERGER ODS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLER & RANSBERGER ODS",
        "enumeration_date": "2008-01-14",
        "last_updated": "2023-08-02",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "PAULINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-592-3121"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5441TPG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7283TPG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14924TLG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6563640",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4643714",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "567276",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6276614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILLER & RANSBERGER ODS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MILLER AND NARAHARA ODS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MILLER AND NARAHARA ODS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Exeter, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.

Verify at the official NPI Registry.