Individual provider Active NPI

Dalton Miller, OD

  • Optometrist
  • Hampton, IA
National Provider Identifier
1891288569
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
092102 Issued in IA
Practice address
402 12TH Ave NE
Hampton, IA 50441-1117
Phone
(641) 456-4251
NPI assigned
Jun 7, 2018
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 092102 IA Primary

Addresses

Primary practice location

402 12TH Ave NE
Hampton, IA 50441-1117

Mailing address

402 12TH Ave NE
Hampton, IA 50441-1117

Other practice location 1

713 S Oak St
Iowa Falls, IA 50126-9546
Phone (641) 648-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180619002495 IA Practitioner - Optometry 1951656735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Vision Clinic IncGroup PAC ID 0143225920, 4 clinicians

Practice addresses (Care Compare)

713 S Oak St
Iowa Falls, IA 50126-9546
Phone (641) 648-3306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Vision Clinic Inc Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Wood Vision Clinic Inc Optometrist CurrentSince Jul 1, 2018 Accepting new patients

Locations

402 12th Ave NE
Hampton, IA 50441
Phone (641) 456-4251

713 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-3306

1306 Highway 57
Ste D
Parkersburg, IA 50665
Phone (319) 346-1688

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": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1891288569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 12TH AVE NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 12TH AVE NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411117",
            "telephone_number": "641-456-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "713 S Oak St",
            "address_purpose": "LOCATION",
            "city": "Iowa Falls",
            "state": "IA",
            "postal_code": "501269546",
            "country_code": "US",
            "telephone_number": "641-648-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DALTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "092102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, IA

Sources for this page

Verify at the official NPI Registry.