Individual provider Active NPI

Michael Eugene Miller, OD

  • Optometrist
  • Concordia, KS
National Provider Identifier
1881794485
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS10273 Issued in KS
Practice address
222 West 6TH St
Concordia, KS 66901
Phone
(785) 243-3386
Fax
(785) 243-4640
NPI assigned
Sep 24, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KS10273 KS Primary

Addresses

Primary practice location

222 West 6TH St
Concordia, KS 66901

Mailing address

PO Box 529
Concordia, KS 66901-0529
Phone (785) 243-3386

Other identifiers 1

IdentifierTypeStateIssuer
100910404MedicaidKS

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050329001283 KS Practitioner - Optometry 4587610811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard J. Kueker OD PAGroup PAC ID 4981750148, 3 clinicians

Practice addresses (Care Compare)

222 W 6TH St
Concordia, KS 66901-2817
Phone (785) 243-3386

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS10273KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J. Kueker, O.D., PA Optometrist CurrentSince Nov 11, 2013 Accepting new patients
Kansal Eye Physicians and Surgeons Chartered PastSince Sep 1, 2004 Accepting new patients

Locations

222 W 6th St
Concordia, KS 66901
Phone (785) 243-3386

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1881794485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669010529",
            "telephone_number": "785-243-3386",
            "fax_number": "785-243-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WEST 6TH ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "66901",
            "telephone_number": "785-243-3386",
            "fax_number": "785-243-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS10273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100910404",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concordia, KS

Sources for this page

Verify at the official NPI Registry.