Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1477540318 Deactivated / Inactive NPI Male Practitioner

Dr. David William Miller , OD

Optometrist • Decatur, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 05, 2005
NPI Deactivation Date October 30, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Miller, OD was a registered Optometrist practicing in Decatur, IL. Throughout an active medical career spanning 19 years, Dr. Miller provided care at the practice location at 2475 N MONROE ST until profile deactivation on 2024-10-30.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2475 N Monroe St

Decatur, IL 625263941

Telephone 2178755900
Fax 2178755600
Associated Practice Facility / Clinic
🏢 Allied Vision Source, Llc Facility NPI 1861860363

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Decatur, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
275 270 $152.83 $112.12
92012 Established patient problem focused exam of visual system
121 109 $107.00 $77.24
92004 New patient complete exam of visual system
32 32 $204.00 $133.40
92083 Exam of visual field with extended testing
19 19 $359.00 $57.61
92134 Imaging of retina
15 15 $416.00 $36.84

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1114445145

Doctor of Optometry

NPI 1184611238

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
⚠️
NPI Profile Deactivated October 30, 2024

Record deactivated on October 30, 2024

NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 19, 2017

Registered at 1008 N MAIN ST, BLOOMINGTON, IL 617011784 (Tel: 3098295311)

📍
Updated Practice Location January 19, 2017

Registered at 2475 N MONROE ST, DECATUR, IL 625263941 (Tel: 2178755900)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as DAVID MILLER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Optometrist (License #046006095 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2475 N MONROE ST, DECATUR, IL 625263941 (Tel: 2178755900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2475 N MONROE ST, DECATUR, IL 625263941 (Tel: 2178755900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID MILLER, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist

🟢
Initial NPI Registration & Enumeration October 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. David Miller. Be the first to share your experience!

Sign in to leave a review for Dr. David Miller

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1477540318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2005
Last Update: July 08, 2007
Deactivation Date: October 30, 2024

Mailing Address

2475 N Monroe St

Decatur, IL 625263941

Phone: 2178755900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.