DR. GRANT THOMAS MILLER (NPI# 1720509458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720509458 |
| Entity Type | Individual |
| Full Name | DR. GRANT THOMAS MILLER |
| Credential | OD |
| Practice Address |
8362 Grand Ave River Grove IL 60171 |
| Mailing Address |
2951 N Talman Ave Apt 3f Chicago IL 60618-7837 |
| Practice Telephone | 7085831100 |
| Mailing Telephone | 8127674034 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046011216 | IL | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
046011216 | IL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1540 Spring Valley Dr, Huntington, WV 257049300 | 3044296741 | |
| 1850 W Roosevelt Rd, Chicago, IL 606081200 | 3129973686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673516 | Grant Miller | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2020-06-15 |
| 1699249409 | Grant Miller | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2019-01-15 |
| 1811433733 | Grant Miller | Physician Assistant | 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049-5232 | 2017-01-17 |
| 1871983221 | Grant A Miller | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-01-23 |
| 1649380866 | Grant Miller | Psychiatry & Neurology | 401 W 2nd St, 216, Reno, NV 89503-5345 | 2006-08-30 |
| Street Address |
8362 GRAND AVE |
| City | RIVER GROVE |
| State | IL |
| Zip Code | 60171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083090716 | Dr. Fakhoury Eye Care PC | Clinic/Center | 8362 Grand Ave, River Grove, IL 60171-1435 | 2015-08-05 |
| 1760048995 | E&g Eye Care Pllc | Optometrist | 8362 Grand Ave, River Grove, IL 60171-1435 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023496395 | Danuta B Superson | Massage Therapist | 8364 W Grand Ave, River Grove, IL 60171 | 2015-05-07 |
| 1063890283 | Davina Harris | Massage Therapist | 8364 W. Grand Avenue, River Grove, IL 60171 | 2015-05-07 |
| 1811150410 | Thtacher Woods Associates Ltd | Clinic/Center | 8383 W Belmont Ave, Suite 200, River Grove, IL 60171 | 2008-07-03 |
| 1235327941 | S. David Demorest | Clinic/Center | 8383 Belmont Avenue, River Grove, IL 60171 | 2007-10-09 |
| 1568527661 | River Grove Clinic | Family Medicine | 8383 N Belmont, River Grove, IL 60171 | 2006-12-27 |
| 1972533081 | Village of River Grove | Ambulance | 2601 Thatcher, River Grove, IL 60171 | 2006-07-04 |
| 1831687680 | Matthew L Garstki | Physical Therapist | 8937 Grand Ave, River Grove, IL 60171 | 2018-04-27 |
| 1386022549 | Izabela S Fratczak | Massage Therapist | 8364 Grand Ave, River Grove, IL 60171 | 2015-05-08 |
| 1568431377 | Michael Dean Dralle | Specialist/Technologist | 8937 Grand Ave, Athletico Sports Medicine and Pt Centers, River Grove, IL 60171 | 2006-03-15 |
| 1164439907 | Gregory Amadeo Bertagna | Dentist | 8383 Belmont Ave, Suite 200, River Grove, IL 60171-1000 | 2006-08-02 |
| Find all providers in zip 60171 | ||||
| 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 |
|---|---|---|---|---|
| 1760048995 | E&g Eye Care Pllc | Optometrist | 8362 Grand Ave, River Grove, IL 60171-1435 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | RIVER GROVE |
| Zip Code | 60171 |
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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.