Mariela Miranda, OD
Optometrist in Oak Creek, WI. Individual provider (NPI-1).
NPI number1245070481
StatusActive
Last updated in NPPESMay 27, 2024
Details
- NPI
- 1245070481
- Entity type
- Individual (NPI-1)
- Name
- Mariela Miranda
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2024
- Certification date
- May 27, 2024
- Last updated
- May 27, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3998-35 | WI | Yes |
Practice location
8661 S Howell Ave Ste 200Oak Creek, WI 53154-2919
Phone 414-847-0164
Mailing address
8661 S Howell Ave Ste 200Oak Creek, WI 53154-2919
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Optometrist providers in Oak Creek, WI
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All 8 Optometrist providers in Oak Creek · All 727 providers in Oak Creek
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