Russell M Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

113354-9934 Issued in UT

Practice address

10 Diagonal St
Suite 101
St George, UT 84770-2878

Phone

(435) 673-3201

Fax

(435) 673-3552

NPI assigned

Apr 6, 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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Utah Eye Care Inc 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@southernutaheyecareincstgeorgeut.compulinkdirect.com

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.

• Southern Utah Eye Care Inc

  • Optometrist
  • St George, UT
  • NPI 1396919809
  Medicare reassignment Care Compare group NPD Authorized official
• Hurricane Valley Eye Care PC

  • Optometrist
  • Hurricane, UT
  • NPI 1770754145
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1730141375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DIAGONAL ST",
            "address_2": "SUITE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702878",
            "telephone_number": "435-673-3201",
            "fax_number": "435-673-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DIAGONAL ST",
            "address_2": "SUITE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702878",
            "telephone_number": "435-673-3201",
            "fax_number": "435-673-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RUSSELL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113354-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Miller
• Lyndee Ann Miller, PA-C
• Mariah Miller, ATC
• Maxwell Miller
• Morgan Lois Miller
• Sierra Markay Miller
• Stacy Ann Miller
• Tia Dudley Miller
• Sharee Hall Millet
• Celesta Millett

• All providers in St George, UT
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.