Organization Active NPI

Eric R. Miller, OD, PC

Doing business as Miller Eye Care

  • Optometrist
  • West Grove, PA
National Provider Identifier
1952320129
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000294 Issued in PA
Legal business name
ERIC R. MILLER, OD, PC
Doing business as
Miller Eye Care
Practice address
57 Jenners Village Center
West Grove, PA 19390-9189
Phone
(610) 869-4200
NPI assigned
Jul 19, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Dr. Eric R Miller, ODNPI 1760404941
Title
Optometrist, President
Phone
(610) 869-4200

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
Optometrist 152W00000X OEG000294 PA Primary

Addresses

Primary practice location

57 Jenners Village Center
West Grove, PA 19390-9189

Mailing address

57 Jenners Village Center
West Grove, PA 19390-9189
Phone (610) 869-4200

Other identifiers 1

IdentifierTypeStateIssuer
0019738150001MedicaidPA

Other names 1

  • Miller Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050421000347 PA Part B Supplier - Clinic/Group Practice 3476591397 Receives reassigned benefits from 5 practitioners
Practice locations: West Grove, PA
O20100930031629 PA DME Supplier - Physician - Optometrist 3476591397 Practice locations: West Grove, PA

National Provider Directory

National Provider Directory
Tax ID family
Eric R Miller OD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

839 W Baltimore Pike
#V
West Grove, PA 19390
Phone (610) 869-4200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1952320129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CENTER",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909189",
            "telephone_number": "610-869-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CENTER",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909189",
            "telephone_number": "610-869-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R. MILLER, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST, PRESIDENT",
        "authorized_official_telephone_number": "610-869-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019738150001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.