Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shawn Ryan Miller, OD

Individual provider Optometrist · NPI 1902211295

Dr. Shawn Ryan Miller, OD is an Optometry in Traverse City, Michigan. Qualified in 2014, 12 years ago. Practices with Grand Traverse Ophthalmology Clinic PC, a 13-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

929 Business Park Dr
Traverse City, MI 49686
Phone: (231) 487-2020
Fax: (231) 487-6166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901004911 (MI)

Record details

NPI number1902211295
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Grand Traverse Ophthalmology Clinic Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City