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Jason Richard Miller

Optometrist

Eye and Vision Services Providers

9711 Sawmill Pkwy Unit C, Powell, OH 43065-6100

PECOS Enrollment

This provider is enrolled in PECOS as JASON MILLER.

Based on the most recent information from CMS, provider Jason Richard Miller is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1265536403
Provider Type
Individual
Full Name
Miller, Jason Richard
Title
Dr.
Credential
O.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
9/8/2006
Last Updated
3/11/2024

Contact Information

Practice Location

9711 Sawmill Pkwy Unit C, Powell, OH 43065-6100

(614) 793-0700

(614) 793-0084

Mailing Location

265 N Liberty St, Powell, OH 43065-8870

(614) 793-0700

(614) 793-0084

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License 5055 Ohio
Code 152WP0200X	Description Optometrist Eye and Vision Services Providers	License 5055 Ohio
Code 152WS0006X	Description Optometrist Eye and Vision Services Providers	License 5055 Ohio
Code 152WC0802X	Description Optometrist Eye and Vision Services Providers	License 5055 Ohio

Jason Richard Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

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License

Code

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Code

Description

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