Individual provider Active NPI

Jill Paxton Miller, O.D.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1811957319
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000939 Issued in PA
Practice address
4600 Jonestown Rd
Harrisburg, PA 17109-6214
Phone
(717) 540-4070
Fax
(717) 545-6441
NPI assigned
Mar 27, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000939 PA Primary

Addresses

Primary practice location

4600 Jonestown Rd
Harrisburg, PA 17109-6214

Mailing address

4600 Jonestown Rd
Harrisburg, PA 17109-6214
Phone (717) 540-4070

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
I20100921000217 PA Practitioner - Optometry 1951426477 Reassigns benefits to 1 organization
Practice locations: Harrisburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

3593 Capital City Mall Dr
Suite 738
Camp Hill, PA 17011-7011
Phone (717) 737-3462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000939PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Miller Optometrist CurrentSince Dec 30, 2009 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients

Locations

4600 Jonestown Rd
Harrisburg, PA 17109
Phone (717) 540-4070

Organizations & group practices 3

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1811957319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 JONESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171096214",
            "telephone_number": "717-540-4070",
            "fax_number": "717-545-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 JONESTOWN RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171096214",
            "telephone_number": "717-540-4070",
            "fax_number": "717-545-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JILL",
        "middle_name": "PAXTON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.