Individual provider Active NPI

Karen L Miller, OD

  • Optometrist
  • Long Beach, NY
National Provider Identifier
1851433148
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006540 Issued in NY
Practice address
670 Long Beach Blvd
Long Beach, NY 11561-2237
Phone
(516) 777-0010
Fax
(516) 744-7298
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006540 NY 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
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
I20060208000242 NY Practitioner - Optometry 8426063744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

670 Long Beach Blvd
Long Beach, NY 11561-2237
Phone (516) 777-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karen L. Miller, O.D., P.C. Optometrist CurrentSince Aug 5, 2024 Accepting new patients

Locations

780 Long Beach Blvd
Long Beach, NY 11561
Phone (516) 897-9000

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1851433148",
    "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": {
        "last_name": "MILLER",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.