Corey a Miller MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

841713051205 Issued in UT

Legal business name

COREY A MILLER MD PC

Practice address

1485 E 3900 S
Ste 103
Salt Lake City, UT 84124-1412

Phone

(801) 277-1087

Fax

(801) 277-6742

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Corey A Miller, MDNPI 1699796482

Title

President

Phone

(801) 277-1087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: cmiller@coreymiller.intellechartdirect.net

Practitioners 3

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

• Corey A Miller, MD

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1699796482
  Medicare reassignment NPD Authorized official
• Corey Jackson Miller, M.D.

  • Cornea and External Diseases Specialist Physician
  • Salt Lake City, UT
  • NPI 1538600762

  Ophthalmology

  Medicare reassignment NPD
• David Larson Demill, M.D.

  • Cornea and External Diseases Specialist Physician
  • Portland, OR
  • NPI 1366783631

  Ophthalmology, UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689693814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 E 3900 S",
            "address_2": "STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241412",
            "telephone_number": "801-277-1087",
            "fax_number": "801-277-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 E 3900 S",
            "address_2": "STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241412",
            "telephone_number": "801-277-1087",
            "fax_number": "801-277-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY A MILLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-277-1087",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "841713051205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Cordova
• Core Helath and Wellness
• Core of Health, LLC
• Core Rehabilitation and Spine Center
• Jessica Corean
• Elizabeth A Corey
• Jack Owen Corey
• John R Corkery, MD
• Cynthia P Cornejo
• Howard M Corneli, MD

• Ophthalmology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.