SUSAN K MILLER (O.D.) – Optometrist, NPI 1972667764

SUSAN K MILLER (O.D.) is a healthcare provider. based in Grandville, Michigan. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 4901003738 (MI). The NPI Number for SUSAN K MILLER (O.D.) is 1972667764

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN K MILLER (O.D.)
NPI
1972667764
Phone
(616) 249-7362
Address
3700 RIVERTOWN PKWY SW
Enumeration Date
19 December 2006
Last Update Date
9 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162497362
Graduation Year
1994 (32 years ago)
PAC ID
2860592649
Group Practice PAC ID
9032491246
Professional Enrollment ID
I20070709000447
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SUSAN K MILLER (O.D.)

  • RiverTown Crossings, 3700, Rivertown Parkway Southwest, Grandville, Kent County, Michigan, 49418, United States

    SPACE 2112 RIVERTOWN CROSSINGS

    GRANDVILLE, MI 494183085

    Phone: (616) 249-7362

    Fax: (616) 249-8097

    Type: Location

  • 1468 JULIE CT

    HUDSONVILLE, MI 494269582

    Phone: (616) 667-1853

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $1,093.

Total Amount is formed as General ($1,093) + Research ($0) + Ownership ($0) = $1,093.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: CooperVision Inc. ($967).

Total Amount

$1,093

General + Research + Ownership

Payments

13

Total payment records

General Amount

$1,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

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: 2007-07-09

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
I20070709000447IOptometryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49418)

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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: 9032491246View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YIL
O P T O M E T R YMI
-PA
O P T O M E T R YMN
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 YMN
O P T O M E T R YIL
O P T O M E T R YMI

Reviews

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Frequently asked questions

What NPI should I save for SUSAN K MILLER (O.D.)?
Save NPI 1972667764 if you need a stable reference for SUSAN K MILLER (O.D.).
Does this profile mean SUSAN K MILLER (O.D.) is currently active?
Yes — SUSAN K MILLER (O.D.) appears active in the national provider directory.
What kind of provider is SUSAN K MILLER (O.D.)?
The page reflects Optometrist for SUSAN K MILLER (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for SUSAN K MILLER (O.D.)?
We surface Grandville, Michigan for SUSAN K MILLER (O.D.) based on available NPPES addresses.
What if Grandville, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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