Active NPI
Dr Chani Miller OD LLC
- Optometrist
- Highland Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00523800
- Legal business name
- DR CHANI MILLER OD LLC
- Practice address
- 18 N 3Rd Ave
Highland Park, NJ 08904-2408 - Phone
- (732) 993-1111
- Fax
- (732) 993-1167
- NPI assigned
- Jan 21, 2015
- Last updated
- Jan 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chani Miller, OD
- Title
- Owner/Member
- Phone
- (732) 993-1111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00523800 | NJ | Primary |
Addresses
Primary practice location
18 N 3Rd Ave
Highland Park, NJ 08904-2408
Mailing address
18 N 3Rd Ave
Highland Park, NJ 08904-2408
Phone (732) 993-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6511708 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
18 N 3rd Ave
Highland Park, NJ 08904
Phone (732) 545-0094
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Highland Park, NJ
- NPI 1710005632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421798400000",
"number": "1881083434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 N 3RD AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042408",
"telephone_number": "732-993-1111",
"fax_number": "732-993-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 N 3RD AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042408",
"telephone_number": "732-993-1111",
"fax_number": "732-993-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CHANI MILLER OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "CHANI",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "732-993-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00523800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6511708",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.