Organization Active NPI

Dr Chani Miller OD LLC

  • Optometrist
  • Highland Park, NJ
National Provider Identifier
1881083434
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00523800 Issued in NJ
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Chani Miller, ODNPI 1710005632
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6511708MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.