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Deactivated NPI 1821174087 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy I Miller , OD

Optometrist • Ottawa, IL

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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. Timothy Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2006
NPI Deactivation Date July 20, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Miller, OD was a registered Optometrist practicing in Ottawa, IL. Throughout an active medical career spanning 14 years, Dr. Miller provided care at the practice location at 107 E MCKINLEY RD until profile deactivation on 2020-07-20.

Practice Location & Contact Primary Location

Practice Address

107 E Mckinley Rd

Ottawa, IL 613504801

Telephone 8154331426
Fax 8154331446
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ottawa, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Ottawa, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046006550

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

1 Associated Practitioners
NPI 1346238664

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 20, 2020

Record deactivated on July 20, 2020

NPI Profile Active August 27, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 27, 2008

Registered at 107 E MCKINLEY RD, OTTAWA, IL 613504801 (Tel: 8154331426)

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Updated Business Mailing Address August 27, 2008

Registered at 107 E MCKINLEY RD, OTTAWA, IL 613504801 (Tel: 8154331426)

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Provider Name / Credentials Updated August 27, 2008

Recorded as TIMOTHY MILLER, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2008

Optometrist (License #046006550 in IL)

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Initial NPI Registration & Enumeration October 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821174087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: August 27, 2008
Deactivation Date: July 20, 2020

Mailing Address

107 E Mckinley Rd

Ottawa, IL 613504801

Phone: 8154331426

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.