Dr. Joe E.Miller II Optometrist PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2082 Issued in FL

Legal business name

DR. JOE E.MILLER II OPTOMETRIST PA

Practice address

173 Integra Breeze LN
Unit#103
Daytona Beach, FL 32117-5589

Phone

(386) 846-8278

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joe E. Miller II, O.D.

Title

President

Phone

(386) 846-8278

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1710110598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 INTEGRA BREEZE LN",
            "address_2": "UNIT#103",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175589",
            "telephone_number": "386-846-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 INTEGRA BREEZE LN",
            "address_2": "UNIT#103",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175589",
            "telephone_number": "386-846-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOE E.MILLER II OPTOMETRIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-846-8278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "935164",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.