Individual provider Active NPI

Eric R Miller, O.D.

  • Optometrist
  • West Grove, PA
National Provider Identifier
1760404941
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000294 Issued in PA
Practice address
57 Jenners Village Center
West Grove, PA 19390-9189
Phone
(610) 869-4200
NPI assigned
Jul 24, 2006
Last updated
May 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000294 PA Primary

Addresses

Primary practice location

57 Jenners Village Center
West Grove, PA 19390-9189

Mailing address

57 Jenners Village Center
West Grove, PA 19390-9189
Phone (610) 869-4200

Other identifiers 1

IdentifierTypeStateIssuer
0019738240001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ERM@millereyecareonline.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080219000374 PA Practitioner - Optometry 9537242201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric R. Miller, OD, PCGroup PAC ID 3476591397, 5 clinicians

Practice addresses (Care Compare)

57 Jenners Village Ctr
West Grove, PA 19390-8102
Phone (610) 869-4200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eric R. Miller, OD, PC CurrentSince Nov 5, 2002 Accepting new patients
Eric R. Miller, OD, PC Optometrist CurrentSince Aug 28, 2002 Accepting new patients
Simon Eye Associates PA Optometrist PastSince Jul 1, 2003 Accepting new patients
Eye Associates of Bucks County PastSince Sep 10, 2012 Accepting new patients

Locations

57 Jenners Village Ctr
West Grove, PA 19390
Phone (610) 869-4200

839 W Baltimore Pike
#V
West Grove, PA 19390
Phone (610) 869-4200

Interoperability endpoints

  • Direct secure messaging: erm@millereyecareonline.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1760404941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CENTER",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909189",
            "telephone_number": "610-869-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CENTER",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909189",
            "telephone_number": "610-869-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019738240001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ERM@millereyecareonline.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "57 Jenners Village Center",
            "city": "West Grove",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193909189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

Verify at the official NPI Registry.