Organization Active NPI

D.J. Miller O.D. and Associates, LLC

  • Optometrist
  • Sumter, SC
National Provider Identifier
1891332383
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
D.J. MILLER O.D. AND ASSOCIATES, LLC
Practice address
1057 Broad St Ste 48
Sumter, SC 29150-2565
Phone
(828) 208-2215
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Dr. Daniel Justin Miller, ODNPI 1205285780
Title
Optometrist
Phone
(828) 208-2215

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1057 Broad St Ste 48
Sumter, SC 29150-2565

Mailing address

1000 Johnnie Dodds Blvd Ste 103-190
Mount Pleasant, SC 29464-3135
Phone (828) 208-2215

Other practice location 1

450 Azalea Square Blvd
Summerville, SC 29483-7321
Phone (828) 208-2215

Other practice location 2

2070 Sam Rittenberg Blvd
Charleston, SC 29407-4605
Phone (828) 208-2215

Other names 1

  • D.J. Miller O.D. and Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Johnnie Dodds Blvd
Ste 103190
Mount Pleasant, SC 29464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1891332383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD STE 103-190",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643135",
            "telephone_number": "828-208-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST STE 48",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502565",
            "telephone_number": "828-208-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Azalea Square Blvd",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294837321",
            "country_code": "US",
            "telephone_number": "828-208-2215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2070 Sam Rittenberg Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074605",
            "country_code": "US",
            "telephone_number": "828-208-2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "D.J. MILLER O.D. AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "828-208-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D.J. Miller O.D. and Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D.J. Miller O.D. and Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.