Edward C Miller, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

FL0P1768 Issued in FL

Practice address

2914 Oakwood Blvd
Hollywood, FL 33020-7122

Phone

(954) 921-7470

NPI assigned

Sep 13, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1952396293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CRANDON BLVD",
            "address_2": "SUITE 32-224",
            "city": "KEY BISCAYNE",
            "state": "FL",
            "postal_code": "331491536",
            "telephone_number": "954-921-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 OAKWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330207122",
            "telephone_number": "954-921-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FL0P1768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078364100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakira Millar, RBT
• Miller Healthcare Network LLC
• Sandra M Miller Sheriff, D.M.D.
• Bryan Allan Miller, D.C.
• Diana Lynn Miller, APRN
• Halbert Bayless Miller, M.D.
• Ian Miller, DO
• Michael Miller Jr.
• Morgan G Miller, M.S.
• Pamela Miller, PA-C

• Optometrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.