Individual
DR. JOHN DAVID MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
415 METRO AVE, EVANSVILLE, IN 47715-2805
(812) 476-2000
(812) 477-1533
Mailing address
415 METRO AVE, EVANSVILLE, IN 47715-2805
(812) 476-2000
(812) 477-1533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002272
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M400031448
INDIVIDUAL PTAN
IN
Enumeration date
03/29/2006
Last updated
05/21/2015
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