Individual provider Active NPI

Ryan G Miller, OD

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1962445403
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12616 Issued in CA
Practice address
40700 California Oaks Rd
Murrieta, CA 92562-5789
Phone
(951) 696-1135
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12616 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd
Murrieta, CA 92562-5789

Mailing address

40700 California Oaks Rd
Murrieta, CA 92562-5789
Phone (951) 696-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060915000506 CA Practitioner - Optometry 2961407408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lobue Laser and Eye Care Medical Center IncGroup PAC ID 3678462140, 5 clinicians

Practice addresses (Care Compare)

40700 California Oaks Rd
Suite 106
Murrieta, CA 92562-5789
Phone (951) 696-1135

Merit-based Incentive Payment System (MIPS)

Final score
88.64 of 100Reported as group
Quality
93.09
Improvement activities
40
Cost
71.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12616CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lobue Laser and Eye Care Medical Center Inc CurrentSince Apr 20, 2011 Accepting new patients

Locations

40700 California Oaks Rd
Ste 106
Murrieta, CA 92562
Phone (951) 696-1135

29950 Haun Rd
Ste 206
Sun City, CA 92586
Phone (951) 679-0545

40945 Winchester Rd
Temecula, CA 92591
Phone (951) 696-1135

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1962445403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-696-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-696-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.