Scott R Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003770 Issued in MI

Practice address

3100 Wilson Ave SW
Grandville, MI 49418-1200

Phone

(616) 534-8238

Fax

(616) 534-4189

NPI assigned

Jan 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Grandville Eye Care PCGroup PAC ID 7012969181, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@grandvilleeyecarepcgrandvillemi.compulinkdirect.com

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.

• Grandville Eye Care, P.C.

  • Optometrist
  • Grandville, MI
  • NPI 1295746287
  Medicare reassignment Care Compare group NPD
• Glaucoma Eye Center PC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1891855714
  NPD (past)

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1922079011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181200",
            "telephone_number": "616-534-8238",
            "fax_number": "616-534-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181200",
            "telephone_number": "616-534-8238",
            "fax_number": "616-534-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4074370",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashely Mikita
• Khalilah Yvonne Miles, DOULA
• Miller Dental Practice PLLC
• Allison Kay Miller, FNP
• Pamela Kay Miller
• Susan K Miller, O.D.
• Mindy Elizabeth Milliron, LMSW
• Jillissa Starr Miner, BT
• Ava Nicole Mison
• Mission Point of Grandville LLC (Intersect Healthcare of Grandville)

• Optometrist in Grandville, MI
• Providers in Grandville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.