Dominic A Miron, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2746 Issued in MN

Practice address

3632 10TH LN NW
Rochester, MN 55901-7032

Phone

(507) 282-7121

Fax

(507) 285-0951

NPI assigned

Dec 20, 2006

Last updated

Dec 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eye Care Center of Austin Inc.Group PAC ID 1456424365, 4 clinicians

Lifetime Eye Care of Rochester IncGroup PAC ID 6507932167, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Eye Care Center of Austin Inc.

  • Eyewear Supplier
  • Austin, MN
  • NPI 1417119744

  Optometrist

  Medicare reassignment Care Compare group NPD
• Lifetime Eye Care of Rochester Inc

  • Optometrist
  • Rochester, MN
  • NPI 1316107790
  Medicare reassignment Care Compare group NPD
• Michael W Gordon

  • Optometrist
  • Spring Valley, MN
  • NPI 1316165046
  NPD (past)
• Preston Eye Clinic LLC

  dba Spring Valley Eye Clinic

  • Optometrist
  • Preston, MN
  • NPI 1275614406
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1831253327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 10TH LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017032",
            "telephone_number": "507-282-7121",
            "fax_number": "507-285-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 10TH LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017032",
            "telephone_number": "507-282-7121",
            "fax_number": "507-285-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRON",
        "first_name": "DOMINIC",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2746",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02338",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2755-035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639544900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joao Manoel Miranda Magalhaes Santos, MD
• William R Miranda, MD
• Maxwell Donald Mirande, DO
• Mire Transportation Delivery, LLC
• Igal Mirman, MD
• Ellyn Victoria Mirsch, PT, DPT
• Shireen Mirza, MD
• Sanskriti Mishra, MBBS
• John James Miskella
• Jason Misra, DPT

• Optometrist in Rochester, MN
• Providers in Rochester, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.

Verify at the official NPI Registry.