DR. BEVERLY BUSHWICK MILLER (NPI# 1588636856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588636856 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY BUSHWICK MILLER |
| Other Name | DR. BEVERLY MILLER ROSENBLATT |
| Credential | OD |
| Practice Address |
30030 Town Center Dr Laguna Niguel CA 92677-2046 |
| Practice Telephone | 9494953031 |
| Practice Fax Number | 9494959238 |
| Mailing Telephone | 9494953031 |
| Mailing Fax Number | 9494959238 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPC1430 | FL | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 12963TPA | CA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | TA 0681 | MD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BC/BS | 00X237 | 01 |
| MD | HEALTHNET/TRICARE | 20-8901521 | 01 |
| MD | 490518100 | 05 | |
| DC | BLUECROSS | 89160001 | 01 |
| MD | EYEMED | OP2260 | 01 |
| MD | BLOCK VISION | 907716 | 01 |
| MD | AETNA | 1032476 | 01 |
| MD | CAQH | 1223367 | 01 |
| MD | MDIPA/MAMSI | 271019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073846721 | Beverly Miller | Occupational Therapy Assistant | 975 Mitchell Rd, Sedalia, MO 65301-2133 | 2009-09-14 |
| 1740483114 | Beverly Jane Miller | Licensed Practical Nurse | 1001 Delafield St, Apt 320, Waukesha, WI 53188 | 2007-06-06 |
| 1871500603 | Beverly Jean Miller | Counselor | 4610 Bluebird Rd, Canandaigua, NY 14424-9735 | 2006-08-02 |
| 1255372710 | Beverly L Miller | Nurse Practitioner | 1615 Sw 8th Ave, Topeka, KS 66606-1633 | 2006-06-08 |
| 1366995920 | Beverly Miller | Occupational Therapy Assistant | 100 Silver Bluff Dr, Canton, NC 28716-6350 | 2016-08-01 |
| 1275941213 | Beverly Elaine Miller | Nurse Practitioner | 4303 Live Oak Dr, Little River, SC 29566-9138 | 2014-07-22 |
| 1881970945 | Beverly Ann Miller | Licensed Practical Nurse | 810 S 4th St, Clinton, IN 47842-2220 | 2011-11-02 |
| 1457476244 | Beverly D Miller | Counselor | 3939 San Pedro Dr Ne, Suite C-4, Albuquerque, NM 87110-8900 | 2007-03-20 |
| 1689735532 | Beverly Elaine Miller | Speech-Language Pathologist | #1 John Marshall Dr, Marshall University Speech and Hearing Center, Huntington, WV 25755-2675 | 2006-12-13 |
| 1043215940 | Beverly Miller | Optometrist | 10 Codington Pl, Somerville, NJ 08876-2408 | 2005-06-16 |
| Street Address |
30030 TOWN CENTER DR |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592043 | South Coast Hearing Specialist | Clinic/Center | 30030 Town Center Dr, Laguna Niguel, CA 92677-2046 | 2017-07-27 |
| 1750543187 | Rose Marie Schleif Davis | Audiologist-Hearing Aid Fitter | 30030 Town Center Dr, Laguna Niguel, CA 92677-2046 | 2008-06-26 |
| 1336248954 | Traci Lynne Paul | Optometrist | 30030 Town Center Dr, Laguna Niguel, CA 92677-2096 | 2006-09-21 |
| 1366540296 | Patrick Auburn Griffin | Optometrist | 30030 Town Center Dr, Laguna Niguel, CA 92677-2096 | 2006-09-21 |
| 1467550384 | Stephen Randall Griffin | Optometrist | 30030 Town Center Dr, Laguna Niguel, CA 92677-2096 | 2006-09-21 |
| 1629176730 | Ted Powers Griffin Jr. | Optometrist | 30030 Town Center Dr, Laguna Niguel, CA 92677-2096 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518417245 | George Choueiry, O.d., Optometric Corp. | Optometrist | 30001 Crown Valley Pkwy Ste F, Laguna Niguel, CA 92677-1723 | 2016-10-05 |
| 1114175171 | Carla A Ursetta | Optometrist | 27270 Alicia Pkwy, Suite, Laguna Niguel, CA 92677 | 2008-09-03 |
| 1033387121 | Laguna Heights Optometry Inc | Optometrist | 30231 Golden Lantern Ste B, Laguna Niguel, CA 92677-5989 | 2008-02-12 |
| 1245420694 | Asuman Ayse Unal | Optometrist | 28121 Crown Valley Pkwy, Suite G, Laguna Niguel, CA 92677-1491 | 2007-07-31 |
| 1992848030 | Farzaneh Salatini | Optometrist | 27881 La Paz Rd Ste G, Laguna Niguel, CA 92677-3933 | 2007-02-15 |
| 1831242288 | Amy Thi Vu | Optometrist | 27270 Alicia Pkwy Ste D, Laguna Niguel, CA 92677-3413 | 2007-01-19 |
| 1770695926 | Barry Uminsky | Optometrist | 201 Fleurance St, Laguna Niguel, CA 92677-9042 | 2006-08-31 |
| 1770559874 | James R Henslick,o.d. Professional Corporation | Optometrist | 27451 La Paz Rd, Suite B, Laguna Niguel, CA 92677-3739 | 2006-02-27 |
| 1215908181 | James Michael Kane | Optometrist | 30001 Crown Valley Pkwy, Suite F, Laguna Niguel, CA 92677-1723 | 2006-01-30 |
| 1932196227 | Edyta Klimek | Optometrist | 27451 La Paz Rd Ste B, Laguna Niguel, CA 92677-4082 | 2005-09-30 |
| Find all providers in LAGUNA NIGUEL | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.