Individual provider Active NPI

Daisy Kae Miller, OD

  • Optometrist
  • Blue Springs, MO
National Provider Identifier
1881329464
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2022025975 Issued in MO
Practice address
211 NW State Route 7
Blue Springs, MO 64014-6401
Phone
(816) 350-5027
NPI assigned
Jul 19, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2022025975 MO Primary

Addresses

Primary practice location

211 NW State Route 7
Blue Springs, MO 64014-6401

Mailing address

4801 S Cliff Ave Ste 100
Independence, MO 64055-6954
Phone (816) 350-4536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220721001786 MO Practitioner - Optometry 7012398043 Reassigns benefits to 1 organization
I20240807003772 KS Practitioner - Optometry 7012398043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seibert Mobile Optometry LLCGroup PAC ID 7517242746, 9 clinicians
Feltz Mobile Optometry LLCGroup PAC ID 0648551044, 5 clinicians

Practice addresses (Care Compare)

12758 Honeygrove CT
Saint Louis, MO 63146-4405
Phone 24852821166

321 N Chestnut St
Lindsborg, KS 67456-1904
Phone (785) 227-2334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2224KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Feltz Mobile Optometry LLC Optometrist CurrentSince Jul 22, 2024 Accepting new patients
Seibert Mobile Optometry LLC Optometrist CurrentSince Apr 12, 2024 Accepting new patients

Locations

321 N Chestnut St
Lindsborg, KS 67456
Phone (785) 227-2334

2900 SW Wanamaker Dr
Ste 204
Topeka, KS 66614
Phone (415) 742-8411

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

1410 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-7975

Interoperability endpoints

  • Direct secure messaging: daisy.millerod.p1@direct.dvc.nextgenshare.com

Organizations & group practices 2

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1881329464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556954",
            "telephone_number": "816-350-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NW STATE ROUTE 7",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640146401",
            "telephone_number": "816-350-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAISY",
        "middle_name": "KAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2022025975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.