Individual provider Active NPI

Keith Mitchell Miloshoff, OD

  • Optometrist
  • Westfield, IN
National Provider Identifier
1891216925
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004048A Issued in IN
Practice address
16409 Southpark Dr
Westfield, IN 46074-8470
Phone
(317) 896-5005
NPI assigned
Jun 28, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004048A IN Primary

Addresses

Primary practice location

16409 Southpark Dr
Westfield, IN 46074-8470

Mailing address

1111 W Main St Apt 302
Carmel, IN 46032-1588
Phone (219) 308-5704

Other practice location 1

630 3rd Ave SW Ste 100
Carmel, IN 46032-2087
Phone (317) 844-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170908002905 IN Practitioner - Optometry 4880967025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loman Eye Care IncGroup PAC ID 2769446517, 2 clinicians

Practice addresses (Care Compare)

630 3Rd Ave SW
Suite 100
Carmel, IN 46032-2087
Phone (317) 844-7474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Loman Eye Care, Inc Optometrist CurrentSince Feb 15, 2018 Accepting new patients
Busby Eye Care, LLC Optometrist CurrentSince Sep 13, 2017 Accepting new patients
Vivian Ireton LLC Past Accepting new patients

Locations

630 3rd Ave SW
Ste 100
Carmel, IN 46032
Phone (317) 844-7474

16409 Southpark Dr
Ste B
Westfield, IN 46074
Phone (317) 896-5005

Organizations & group practices 3

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891216925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W MAIN ST APT 302",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321588",
            "telephone_number": "219-308-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 SOUTHPARK DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748470",
            "telephone_number": "317-896-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 3rd Ave SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460322087",
            "country_code": "US",
            "telephone_number": "317-844-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILOSHOFF",
        "first_name": "KEITH",
        "middle_name": "MITCHELL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004048A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.