ANN MILLER (O.D.) – Optometrist, NPI 1609250778

ANN MILLER (O.D.) is a healthcare provider. based in Vicksburg, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004917 (MI). The NPI Number for ANN MILLER (O.D.) is 1609250778

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANN MILLER (O.D.)
NPI
1609250778
Phone
(269) 649-0103
Address
124 E PRAIRIE ST
Enumeration Date
17 July 2015
Last Update Date
7 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696517874
Graduation Year
2015 (11 years ago)
PAC ID
7214243484
Group Practice PAC ID
5092700393
Professional Enrollment ID
I20150902001996
Address ID
MI490919702ST2628912XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for ANN MILLER (O.D.)

  • 124 E PRAIRIE ST

    VICKSBURG, MI 490971257

    Phone: (269) 649-0103

    Fax: (269) 649-4762

    Type: Mailing

  • 26289 US 12

    PO BOX 128

    STURGIS, MI 490918706

    Phone: (236) 651-7874

    Fax: (269) 651-4154

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($109).

Total Amount

$239

General + Research + Ownership

Payments

8

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150902001996IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3736$0
99214Established patient office or other outpatient visit, 30-39 minutes3232$0
92250Photography of the retina1414$0
99212Established patient office or other outpatient visit, 10-19 minutes1413$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49097)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092700393View full group profile
NameSpecialtyState
O P T O M E T R YMI

Reviews

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Frequently asked questions

How do I look up ANN MILLER (O.D.) by NPI?
Use NPI 1609250778 when you need to reference ANN MILLER (O.D.) in forms, claims, or directories.
Does this profile mean ANN MILLER (O.D.) is currently active?
Yes — ANN MILLER (O.D.) appears active in the national provider directory.
Can you summarize ANN MILLER (O.D.)'s specialty in plain language?
Clinically, the directory lists ANN MILLER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is ANN MILLER (O.D.)'s primary listing?
We display Vicksburg, Michigan because that is what the record indicates for ANN MILLER (O.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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