Grant Thomas Miller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011216 Issued in IL

Practice address

8362 Grand Ave
River Grove, IL 60171

Phone

(708) 583-1100

NPI assigned

Jul 3, 2017

Last updated

Jun 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eandg Eye Care PLLCGroup PAC ID 3870828924, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• E&G Eye Care PLLC

  • Optometrist
  • River Grove, IL
  • NPI 1760048995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1720509458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 N TALMAN AVE APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187837",
            "telephone_number": "812-767-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "60171",
            "telephone_number": "708-583-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Spring Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257049300",
            "country_code": "US",
            "telephone_number": "304-429-6741 x2933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Spring Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257049300",
            "country_code": "US",
            "telephone_number": "304-429-6741 x2933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081200",
            "country_code": "US",
            "telephone_number": "312-997-3686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GRANT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011216",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "046011216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Laton, RDN
• Lawrence T Jacobs DDS PC
• Niema Monae Malone, RN
• Nada Marei
• Dana Jamison McCoy, M.A., CCC-SLP
• Nicholas Milosch, PT, DPT
• Nataliya Mostovyy, FNP-BC
• Paul Anthony Naujokas, PT,DPT
• Jenna Nguyen
• Samuel Ntrakwa, MPH, M.DIV

• Optometrist in River Grove, IL
• Providers in River Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.