Organization Active NPI

R Timothy Miller OD

  • Optometrist
  • Akron, OH
National Provider Identifier
1780737213
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4218T734 Issued in OH
Legal business name
R TIMOTHY MILLER OD
Practice address
3235 Manchester Rd
Suite 1
Akron, OH 44319
Phone
(330) 644-7138
Fax
(330) 643-1990
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. R Timothy Miller, OD
Title
Owner
Phone
(330) 644-7138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4218T734 OH Primary

Addresses

Primary practice location

3235 Manchester Rd
Suite 1
Akron, OH 44319

Mailing address

3235 Manchester Rd
Suite 1
Akron, OH 44319
Phone (330) 644-7138

Other identifiers 1

IdentifierTypeStateIssuer
6811424OtherCIGNA

National Provider Directory

National Provider Directory

Locations

3235 Manchester Rd
Ste 1
Coventry Township, OH 44319
Phone (330) 644-7138

3235 Manchester Rd
Coventry Township, OH 44319
Phone (330) 644-0350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1780737213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 MANCHESTER RD",
            "address_2": "SUITE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-644-7138",
            "fax_number": "330-643-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 MANCHESTER RD",
            "address_2": "SUITE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-644-7138",
            "fax_number": "330-643-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R TIMOTHY MILLER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-644-7138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4218T734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6811424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.