Corey A Miller, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

841713051205 Issued in UT

Practice address

1485 East 3900 South
Suite 103
Salt Lake City, UT 84124-1412

Phone

(801) 277-1087

Fax

(801) 277-6742

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Corey a Miller MD PC

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1689693814
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699796482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 EAST 3900 SOUTH",
            "address_2": "SUITE 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 EAST 3900 SOUTH",
            "address_2": "SUITE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241412",
            "telephone_number": "801-277-1087",
            "fax_number": "801-277-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "COREY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "841713051205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Ray Miller, MD
• Christopher Wayne Miller, MD
• Claire Miller, MD, MSCS
• Colton Lee Miller
• Constance Miller
• Corey Jackson Miller, M.D.
• Courtey Niole Miller
• Crystal Rae Miller, RN
• Cynthia Miller
• Elizabeth Joanna Miller, R.PH.

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.