Individual provider Active NPI

Scott Miller, O.D.

  • Optometrist
  • Apache Junction, AZ
National Provider Identifier
1982831632
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002168 Issued in AZ
Practice address
2555 W Apache TRL
Apache Junction, AZ 85120-5204
Phone
(480) 983-9557
NPI assigned
Jun 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7532862-9934 UT
Optometrist 152W00000X OPT-002168 AZ Primary
Optometrist 152W00000X OD60283357 WA

Addresses

Primary practice location

2555 W Apache TRL
Apache Junction, AZ 85120-5204

Mailing address

2555 W Apache TRL
Apache Junction, AZ 85120-5204
Phone (480) 983-9557

Other identifiers 1

IdentifierTypeStateIssuer
1982831632MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090724000700 AZ Practitioner - Optometry 9739232687 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OPT-002168AZMDOptometrist
7532862-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Jun 8, 2021 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Jun 8, 2021 Accepting new patients
Scottsdale Eye Physicians & Surgeons PC CurrentSince May 20, 2019 Accepting new patients

Locations

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

2050 N Alma School Rd
Ste 14
Chandler, AZ 85224
Phone (480) 786-1075

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1950 E University Dr
Mesa, AZ 85203
Phone (480) 844-7097

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

5846 E McKellips Rd
Mesa, AZ 85215
Phone (480) 396-3653

85 W Combs Rd
Ste 108
San Tan Valley, AZ 85140
Phone (602) 239-4286

15560 N Frank Lloyd Wright Blvd
Ste B2
Scottsdale, AZ 85260
Phone (480) 661-8733

7550 E 2nd St
Scottsdale, AZ 85251
Phone (480) 994-1872

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

Interoperability endpoints

  • Direct secure messaging: dr.scott.miller@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 3

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1982831632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 W APACHE TRL",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205204",
            "telephone_number": "480-983-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 W APACHE TRL",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205204",
            "telephone_number": "480-983-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7532862-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002168",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60283357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982831632",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.