# ALAN H MILES OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346538113
- **Authorized official:** TERRI JOHNSON (CONSULTANT)
- **Authorized official phone:** (321) 956-0485

## Contact information

- **Practice address:** 2000 S PATRICK DR, INDIAN HARBOUR BEACH, FL 32937-4462
- **Practice address phone:** (321) 777-1800
- **Practice address fax:** (321) 777-7504
- **Mailing address:** 1397 ASHFORD AVE NE, PALM BAY, FL 32907-1175
- **Mailing address phone:** (321) 777-1800
- **Mailing address fax:** (321) 777-7504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1767 | FL | Yes |
| 332H00000X | Eyewear Supplier | OPC1767 | FL | — |

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 10/21/2011