TYRONE S MILLER (O.D.) – Optometrist, NPI 1881758670

TYRONE S MILLER (O.D.) is a healthcare provider. based in Walled lake, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901003717 (MI). The NPI Number for TYRONE S MILLER (O.D.) is 1881758670

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
TYRONE S MILLER (O.D.)
NPI
1881758670
Phone
(248) 624-1707
Address
519 N PONTIAC TRL
Enumeration Date
19 December 2006
Last Update Date
7 August 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
2486241707
Graduation Year
1994 (32 years ago)
PAC ID
2163519844
Group Practice PAC ID
5991161812
Professional Enrollment ID
I20071026000549
Address ID
MI483903442WA519XXTRLX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

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Provider Addresses for TYRONE S MILLER (O.D.)

  • 519, North Pontiac Trail, Walled Lake, Oakland County, Michigan, 48390, United States

    WALLED LAKE, MI 483903442

    Phone: (248) 624-1707

    Fax: (248) 624-0203

    Type: Location

  • 608 N Lafayette St

    South Lyon, MI 481782001

    Phone: (248) 437-3351

    Fax: (248) 437-0738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-05-31 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($46).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-31

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: 2007-10-26

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
I20071026000549IOptometryMITBD

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
92014Established patient complete exam of visual system2826$0
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 48390)

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Provider's Procedures

TYRONE S MILLER (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMI92012Eye and medical examination for diagnosis and treatment, established patient159157

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: 5991161812View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YIL
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

Can I use this page to confirm TYRONE S MILLER (O.D.)'s NPI?
Yes. TYRONE S MILLER (O.D.) is listed with NPI 1881758670 in the public NPI dataset.
Does CMS list TYRONE S MILLER (O.D.) as active?
Yes — TYRONE S MILLER (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes TYRONE S MILLER (O.D.)?
For research purposes, treat TYRONE S MILLER (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does TYRONE S MILLER (O.D.) serve?
TYRONE S MILLER (O.D.)'s listing highlights Walled Lake, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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