Michael Dwayne Miller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002514A Issued in IN

Practice address

258 E High St
Mooresville, IN 46158-1638

Phone

(317) 831-0725

Fax

(317) 831-0734

NPI assigned

Jul 26, 2006

Last updated

Jan 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mooresville Family Eyecare, PCGroup PAC ID 9830210319, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mooresville Family Eyecare, PC

  • Eyewear Supplier
  • Mooresville, IN
  • NPI 1396905204
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1952325870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 E HIGH ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581638",
            "telephone_number": "317-831-0725",
            "fax_number": "317-831-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 E HIGH ST",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581638",
            "telephone_number": "317-831-0725",
            "fax_number": "317-831-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002514A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Barry Melbert, M.D.
• Michelle Mendenhall
• Meridian Gynecological Center
• Meridian Health Services Corp. (Meridian Health Services)
• Gary S Midla, DO
• Tabitha Miller
• Miller's Health Systems, Inc. (Miller's Senior Living Community)
• Mommas Best Lactation, LLC
• Brittany Monday, NP
• Mooresville Consolidated School C Orp.

• Optometrist in Mooresville, IN
• Providers in Mooresville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.