Tyrone S Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003717 Issued in MI

Practice address

519 N Pontiac TRL
Walled Lake, MI 48390-3442

Phone

(248) 624-1707

Fax

(248) 624-0203

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarity Oakland WL PLLCGroup PAC ID 5991161812, 6 clinicians

Clarity Oakland SL PLLCGroup PAC ID 0840645867, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Clarity Oakland SL, PLLC

  • Optometrist
  • South Lyon, MI
  • NPI 1780380576
  Medicare reassignment Care Compare group NPD
• Clarity Oakland WL, PLLC

  • Optometrist
  • Walled Lake, MI
  • NPI 1336845122
  Medicare reassignment Care Compare group NPD
• Clarity Advanced Eyecare, PLLC

  • Optometrist
  • Birmingham, MI
  • NPI 1639582919
  Medicare reassignment NPD
• Dennis & David Company

  • Optometrist
  • Bingham Farms, MI
  • NPI 1730153982
  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1881758670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N. PONTIAC TRAIL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-624-1707",
            "fax_number": "248-624-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N PONTIAC TRL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903442",
            "telephone_number": "248-624-1707",
            "fax_number": "248-624-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 N Lafayette St",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481782001",
            "country_code": "US",
            "telephone_number": "248-437-3351",
            "fax_number": "248-437-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TYRONE",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Marie Micheli, PA C
• Michigan Institute of Advanced Dentistry P C
• Midwest Medical Transportation, LLC.
• Blake Charles Mikesell, DDS
• Christie Y Miller, FNP
• Ronald Mishko II, D.D.S.
• Mohammad Navai
• Zahra H Moshref, APN
• Heather Lynne Murphy, M.A., L.C.P.C
• Brittany Nicole Musko

• Optometrist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.