Organization Active NPI

Karen L. Miller, O.D., P.C.

  • Optometrist
  • Long Beach, NY
National Provider Identifier
1790562320
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KAREN L. MILLER, O.D., P.C.
Practice address
670 Long Beach Blvd
Long Beach, NY 11561-2237
Phone
(516) 777-0010
Fax
(516) 744-7298
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Dr. Karen L Miller, ODNPI 1851433148
Title
Optometrist/Owner
Phone
(516) 777-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

670 Long Beach Blvd
Long Beach, NY 11561-2237

Mailing address

196 McKinley Ave
Island Park, NY 11558-1823
Phone (516) 777-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240906000074 NY Part B Supplier - Clinic/Group Practice 8224578125 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, NY

National Provider Directory

National Provider Directory

Locations

670 Long Beach Blvd
Long Beach, NY 11561
Phone (516) 777-0010

Practitioners & affiliated clinicians

Practitioners 1

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": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1790562320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 MCKINLEY AVE",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581823",
            "telephone_number": "516-777-0010",
            "fax_number": "516-744-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612237",
            "telephone_number": "516-777-0010",
            "fax_number": "516-744-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN L. MILLER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "516-777-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.