Dr Krystle Jo Miller, OD is a medicare enrolled "Optometrist" provider in Layfayette, Illinois. Her current practice location is
3630 In 26 East, Layfayette, Illinois. You can reach out to her office (for appointments etc.) via phone at
(765) 447-5943.
Dr Krystle Jo Miller is licensed to practice in Illinois (license number 046010696) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578998936.
Healthcare Provider's Profile
Full Name | Dr Krystle Jo Miller |
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Gender | Female |
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Speciality | Optometrist |
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Location | 3630 In 26 East, Layfayette, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578998936
- Provider Enumeration Date: 09/04/2013
- Last Update Date: 07/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 9234557950
- Enrollment ID: I20241119000669
Medical Identifiers
Medical identifiers for Dr Krystle Jo Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578998936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 046-010696 (Illinois) | Secondary |
152W00000X | Optometrist | 18003837A (Indiana) | Secondary |
152W00000X | Optometrist | 3606 (Wisconsin) | Secondary |
152W00000X | Optometrist | 046010696 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Krystle Jo Miller is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Krystle Jo Miller, OD 770 E 3rd Street, Galesburg, IL 61401 Ph: (309) 337-4013 | Dr Krystle Jo Miller, OD 3630 In 26 East, Layfayette, IL 47095 Ph: (765) 447-5943 |
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