Individual provider Active NPI

Morgan Tanner Miller, OD

  • Optometrist
  • Durango, CO
National Provider Identifier
1891426466
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT0003807 Issued in CO
Practice address
450 S Camino del Rio Ste 101
Durango, CO 81301-6856
Phone
(970) 759-5404
Fax
(970) 247-5823
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT0003807 CO Primary

Addresses

Primary practice location

450 S Camino del Rio Ste 101
Durango, CO 81301-6856

Mailing address

450 S Camino del Rio Ste 101
Durango, CO 81301-6856
Phone (970) 759-5404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220711002055 CO Practitioner - Optometry 5597145367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Country Optical, IncGroup PAC ID 5698664639, 2 clinicians

Practice addresses (Care Compare)

450 S Camino del Rio
Suite 101
Durango, CO 81301-6856
Phone (970) 247-3613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT0003807COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
High Country Optical, Inc Optometrist CurrentSince Jun 16, 2022 Accepting new patients

Locations

450 S Camino del Rio
Ste 101
Durango, CO 81301
Phone (970) 247-3613

450 S Camino del Rio
Ste 1
Durango, CO 81301

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1891426466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S CAMINO DEL RIO STE 101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016856",
            "telephone_number": "970-759-5404",
            "fax_number": "970-247-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S CAMINO DEL RIO STE 101",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016856",
            "telephone_number": "970-759-5404",
            "fax_number": "970-247-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MORGAN",
        "middle_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.