Active NPI
Pearson Michel Miller, OD, MS
- Optometrist
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005866
- Practice address
- 1622 Locust St
Pittsburgh, PA 15219-5924 - Phone
- (412) 530-5470
- NPI assigned
- May 9, 2024
- Last updated
- May 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005866 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1622 Locust St
Pittsburgh, PA 15219-5924
Mailing address
5699 Ladderback
Holt, MI 48842-8689
Phone (517) 528-5303
Other practice location 1
5699 Ladderback
Holt, MI 48842-8689
Phone (517) 528-5303
Other practice location 2
3235 N Wellness Dr Ste 130
Holland, MI 49424-7265
Phone (616) 949-2600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pearson.miller@upmcdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3235 N Wellness Dr
Holland, MI 49424-7264
Phone (616) 949-2600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005866 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Blue Sky Vision Eye Care, PC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Optometrist | Current | Accepting new patients |
| Blue Sky Vision Eye Care, P.C | Optometrist | Current | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
511 Wilson Ave NW
Grand Rapids, MI 49534
Phone (616) 301-8663
717 Bagley Ave SE
Grand Rapids, MI 49506
Phone (616) 451-0896
750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506
4475 Wilson Ave SW
Grandville, MI 49418
Phone (616) 249-0100
705 S Greenville West Dr
Ste 201
Greenville, MI 48838
Phone (616) 754-5667
3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522
3235 N Wellness Dr
Ste 130
Holland, MI 49424
Phone (616) 994-9586
537 W Main St
Ionia, MI 48846
Phone (616) 523-1010
1060 N 10th St
Kalamazoo, MI 49009
Phone (269) 353-9700
80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220
6050 Northland Dr NE
Ste 100
Rockford, MI 49341
Phone (616) 588-6582
3300 Walker Vw NW
Walker, MI 49544
Phone (616) 588-6570
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
203 Lothrop St
Fl 7
Pittsburgh, PA 15213
Phone (412) 647-2200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- pearson.miller.p1@direct.grophthalmology.nextgenshare.com
- pearson.miller@upmcdirect.com
Organizations & group practices 5
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.
-
dba Grand Rapids Ophthalmology
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
Optometrist
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Ophthalmology Physician
- Pittsburgh, PA
- NPI 1710945100
Optometrist
-
dba Tukel Eye Center
- Ophthalmology Physician
- Dearborn, MI
- NPI 1316675598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1790533172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5699 LADDERBACK",
"city": "HOLT",
"state": "MI",
"postal_code": "488428689",
"telephone_number": "517-528-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 LOCUST ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152195924",
"telephone_number": "412-530-5470"
}
],
"practiceLocations": [
{
"address_1": "5699 Ladderback",
"address_purpose": "LOCATION",
"city": "Holt",
"state": "MI",
"postal_code": "488428689",
"country_code": "US",
"telephone_number": "517-528-5303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3235 N Wellness Dr Ste 130",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "MI",
"postal_code": "494247265",
"country_code": "US",
"telephone_number": "616-949-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "PEARSON",
"middle_name": "MICHEL",
"credential": "OD, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-09",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005866",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pearson.miller@upmcdirect.com",
"affiliation": "N",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.