Individual provider Active NPI

Pearson Michel Miller, OD, MS

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1790533172
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005866 Issued in MI
Practice address
1622 Locust St
Pittsburgh, PA 15219-5924
Phone
(412) 530-5470
NPI assigned
May 9, 2024
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address pearson.miller@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI2 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

Enrollment IDStateProvider typePAC IDDetails
I20240606003110 PA Practitioner - Optometry 3476095373 Reassigns benefits to 1 organization
I20250520000478 MI Practitioner - Optometry 3476095373 Reassigns benefits to 2 organizations

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
Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

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

LicenseStateTypeSpecialty
4901005866MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2024 Accepting new patients
Blue Sky Vision Eye Care, PC CurrentSince Jun 8, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Blue Sky Vision Eye Care, P.C Optometrist CurrentSince Jun 8, 2025 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pearson.miller.p1@direct.grophthalmology.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.