Individual provider Active NPI

Elaine N Miller, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1962716654
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002357 Issued in PA
Practice address
6013 Babcock Blvd
Pittsburgh, PA 15237-2502
Phone
(412) 364-4090
Fax
(412) 364-7990
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002357 PA Primary
Corneal and Contact Management Optometrist 152WC0802X OEG002357 PA

Addresses

Primary practice location

6013 Babcock Blvd
Pittsburgh, PA 15237-2502

Mailing address

6013 Babcock Blvd
Pittsburgh, PA 15237-2502
Phone (412) 364-4090

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
I20110317000659 PA Practitioner - Optometry 8325221047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Csonka Optometric PCGroup PAC ID 1355388117, 4 clinicians

Practice addresses (Care Compare)

6013 Babcoca Blvd
Pittsburgh, PA 15237-2502
Phone (412) 364-4090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Csonka Optometric PC Optometrist CurrentSince Oct 19, 2010 Accepting new patients

Locations

6013 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 364-4090

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": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1962716654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 BABCOCK BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372502",
            "telephone_number": "412-364-4090",
            "fax_number": "412-364-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 BABCOCK BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372502",
            "telephone_number": "412-364-4090",
            "fax_number": "412-364-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELAINE",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002357",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG002357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.