Individual provider Active NPI

Christopher J Miller, OD

  • Optometrist
  • Jupiter, FL
National Provider Identifier
1699715680
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2723 Issued in FL
Practice address
250 S Central Blvd
Ste 107
Jupiter, FL 33458
Phone
(561) 745-6463
Fax
(561) 748-3001
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2723 FL Primary

Addresses

Primary practice location

250 S Central Blvd
Ste 107
Jupiter, FL 33458

Mailing address

250 S Central Blvd
Ste 107
Jupiter, FL 33458
Phone (561) 745-6463

Other identifiers 1

IdentifierTypeStateIssuer
620021400MedicaidFL

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
I20050218000531 FL Practitioner - Optometry 1153373014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 S Central Blvd
Suite 107
Jupiter, FL 33458-8812
Phone (561) 745-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher J Miller O.D.P.a Optometrist CurrentSince Oct 1, 2004 Accepting new patients
Dr Miller& Associates PLLC Optometrist CurrentSince Aug 18, 2024 Accepting new patients
Dr Miller & Associates PLLC Optometrist Current Accepting new patients

Locations

250 S Central Blvd
Ste 107
Jupiter, FL 33458
Phone (561) 745-6463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1699715680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S CENTRAL BLVD",
            "address_2": "STE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-745-6463",
            "fax_number": "561-748-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S CENTRAL BLVD",
            "address_2": "STE 107",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-745-6463",
            "fax_number": "561-748-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620021400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.