Peter Nicholas Miller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2289 Issued in SC

Practice address

3618 Sunset Blvd Ste a
West Columbia, SC 29169-3046

Phone

(803) 732-4099

Fax

(803) 227-8992

NPI assigned

Jul 26, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, FL2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Vision Therapy Institute of SC

  • Optometrist
  • West Columbia, SC
  • NPI 1114569795
  Medicare reassignment NPD
• Dr Miller & Associates PLLC

  • Optometrist
  • Palm City, FL
  • NPI 1013865294
  Medicare reassignment

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1760155980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292120972",
            "telephone_number": "561-596-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 SUNSET BLVD STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693046",
            "telephone_number": "803-732-4099",
            "fax_number": "803-227-8992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 Browning Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292106924",
            "country_code": "US",
            "telephone_number": "803-732-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PETER",
        "middle_name": "NICHOLAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D22893",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Insurance@vtisc.org",
            "affiliation": "N",
            "address_1": "3618 Sunset Blvd Ste A",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291693046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deana Jones Miles, PHARMD
• Kaeley Rebekah Miles
• Lysa Anne Miller-Dupre, LMSW
• Jennifer Miller, PHARMD
• Mark Andrew Miller, DO
• Shannon Denise Miller, CPC
• Ava Milligan
• Deborah Allison Milling
• Sarah Theresa Milz, CRNA
• Carolyn P Miner, LISW-CP

• Optometrist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.