Organization Active NPI

Dayton Vitreo-Retinal Associates, Inc.

  • Ophthalmology Physician
  • Dayton, OH
National Provider Identifier
1881792679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.044810 Issued in OH
Legal business name
DAYTON VITREO-RETINAL ASSOCIATES, INC.
Practice address
301 W 1St St
Suite 3a
Dayton, OH 45402-3033
Phone
(937) 228-5015
Fax
(937) 228-5971
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Abbott Miller, M.D.NPI 1528170321
Title
Partner
Phone
(937) 228-5015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.044810 OH Primary

Addresses

Primary practice location

301 W 1St St
Suite 3a
Dayton, OH 45402-3033

Mailing address

301 W 1St St
Suite 3a
Dayton, OH 45402-3033
Phone (937) 228-5015

Other identifiers 5

IdentifierTypeStateIssuer
50415OtherOHCIGNA PIN
0429923MedicaidOH
4479736OtherOHAETNA PIN
000000006085OtherOHANTHEM PIN
1147218OtherOHUMWA PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000750 OH Part B Supplier - Clinic/Group Practice 7012940844 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0724267Dayton Vitreo-Retinal Associates Inc301 West First Street Suite 3a, Dayton, OH 45402Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

301 W 1st St
#3A
Dayton, OH 45402
Phone (937) 228-5015

301 W 1st St
Fl 3
Dayton, OH 45402

301 W 1st St
Ste 300
Dayton, OH 45402
Phone (937) 228-5015

301 W 1st St
Ste 3A
Dayton, OH 45402
Phone (937) 228-5015

Practitioners & affiliated clinicians

Practitioners 3

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881792679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 1ST ST",
            "address_2": "SUITE 3A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454023033",
            "telephone_number": "937-228-5015",
            "fax_number": "937-228-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 1ST ST",
            "address_2": "SUITE 3A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454023033",
            "telephone_number": "937-228-5015",
            "fax_number": "937-228-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON VITREO-RETINAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ABBOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-228-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.044810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PIN",
            "identifier": "50415",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429923",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4479736",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000006085",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA PIN",
            "identifier": "1147218",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.