Organization Active NPI

Mia L Miller & Margaret M

Doing business as Miller Mia L GEN PTR

  • Optometrist
  • El Cerrito, CA
National Provider Identifier
1992757819
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7996T Issued in CA
Legal business name
MIA L MILLER & MARGARET M
Doing business as
Miller Mia L GEN PTR
Practice address
180 El Cerrito Plaza
El Cerrito, CA 94530
Phone
(510) 526-2242
Fax
(510) 526-2748
NPI assigned
May 17, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Dr. Margaret M Stolarczuk, OD
Title
Owner
Phone
(510) 526-2242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT7996T CA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT8866T CA

Addresses

Primary practice location

180 El Cerrito Plaza
El Cerrito, CA 94530

Mailing address

180 El Cerrito Plaza
El Cerrito, CA 94530
Phone (510) 526-2242

Other identifiers 1

IdentifierTypeStateIssuer
GS0001090MedicaidCA

Other names 1

  • Miller Mia L GEN PTR Doing business as

National Provider Directory

National Provider Directory

Locations

180 El Cerrito Plz
#M
El Cerrito, CA 94530
Phone (510) 526-2242

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1992757819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 EL CERRITO PLAZA",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-526-2242",
            "fax_number": "510-526-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EL CERRITO PLAZA",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "94530",
            "telephone_number": "510-526-2242",
            "fax_number": "510-526-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA L MILLER & MARGARET M",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "STOLARCZUK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-526-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7996T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8866T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GS0001090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Mia L GEN PTR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.