Individual provider Active NPI

Andrew W Miller, O.D

  • Optometrist
  • Latrobe, PA
National Provider Identifier
1932584331
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003046 Issued in PA
Practice address
1010 Ligonier St
Latrobe, PA 15650-1846
Phone
(724) 539-1671
Fax
(724) 539-1654
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 OEG003046 PA Primary

Addresses

Primary practice location

1010 Ligonier St
Latrobe, PA 15650-1846

Mailing address

1010 Ligonier St
Latrobe, PA 15650-1846
Phone (724) 539-1671

Other identifiers 4

IdentifierTypeStateIssuer
1030863150001MedicaidPA
182875771OtherPARAILROAD MEDICARE GROUP PTAN
003326584OtherPAHIGHMARK
1295789725OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160210001425 PA Practitioner - Optometry 0547564627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vittone Eye Surgical Associates PCGroup PAC ID 1658648464, 5 clinicians

Practice addresses (Care Compare)

1010 Ligonier St
Latrobe, PA 15650-1846
Phone (724) 539-1671

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
69.08
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vittone Eye Surgical Associates PC Optometrist CurrentSince Jul 5, 2017 Accepting new patients
Michael L. Lonesky OD PC Optometrist CurrentSince Nov 28, 2015 Accepting new patients

Locations

1213 13th Ave
Altoona, PA 16601
Phone (814) 944-4011

1010 Ligonier St
Latrobe, PA 15650
Phone (724) 539-1671

509 Georgian Pl
Somerset, PA 15501
Phone (814) 443-9443

Interoperability endpoints

  • Direct secure messaging: awm@vittoneeye.ecldirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1932584331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501846",
            "telephone_number": "724-539-1671",
            "fax_number": "724-539-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501846",
            "telephone_number": "724-539-1671",
            "fax_number": "724-539-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREW",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030863150001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP PTAN",
            "identifier": "182875771",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "003326584",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1295789725",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.