Kari Jane Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2368 Issued in MN

Practice address

216 S Main St
Crookston, MN 56716-1939

Phone

(218) 281-2020

Fax

(218) 281-5997

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crookston Eye Clinic, P.C.

  • Optometrist
  • Crookston, MN
  • NPI 1063550457
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1679587828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161939",
            "telephone_number": "218-281-2020",
            "fax_number": "218-281-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161939",
            "telephone_number": "218-281-2020",
            "fax_number": "218-281-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KARI",
        "middle_name": "JANE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2368",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031525700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Steven Massmann, PA-C
• Marlene Marie McPherson
• Jessica Ann Melby
• Paul O. Michels, MD
• Caitlyn Ann Michno, DPT
• Molly E Hanson
• Douglas Roger Morlan, PCA
• Dean Stuart Mortenson, MA,ADCT
• Israel Mostafa, MD
• Hilary Paige Moteberg, NAR

• Optometrist in Crookston, MN
• Providers in Crookston, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.