Individual provider Active NPI

James Andrew Miller, O.D.

  • Optometrist
  • Chesapeake, VA
National Provider Identifier
1750378204
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001590 Issued in VA
Practice address
801 Volvo Pkwy
Suite 133
Chesapeake, VA 23320-2811
Phone
(757) 549-2225
Fax
(757) 549-0380
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001590 VA Primary
Corneal and Contact Management Optometrist 152WC0802X 0618001590 VA
Pediatric Optometrist 152WP0200X 0618001590 VA

Addresses

Primary practice location

801 Volvo Pkwy
Suite 133
Chesapeake, VA 23320-2811

Mailing address

801 Volvo Pkwy
Suite 133
Chesapeake, VA 23320-2811
Phone (757) 549-2225

Other identifiers 1

IdentifierTypeStateIssuer
09081T00OtherVAMEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070925000393 VA Practitioner - Optometry 0042200131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 Volvo Pkwy
Suite 133
Chesapeake, VA 23320-2800
Phone (757) 549-2225

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001590VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas R. Cheezum, O.D., LTD Optometrist CurrentSince Jul 15, 2007 Accepting new patients
Joyful Eyecare, P.C. Optometrist PastSince Apr 16, 2021 Accepting new patients

Locations

801 Volvo Pkwy
Ste 133
Chesapeake, VA 23320
Phone (757) 549-2225

418 N Main St
Suffolk, VA 23434
Phone (757) 539-4391

Organizations & group practices 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1750378204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "SUITE 133",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-549-2225",
            "fax_number": "757-549-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 VOLVO PKWY",
            "address_2": "SUITE 133",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202811",
            "telephone_number": "757-549-2225",
            "fax_number": "757-549-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001590",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618001590",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "VA",
            "license": "0618001590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "09081T00",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.