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Organization

MILES EYE CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN D MILES O.D. (OWNER/PRESIDENT)
(812) 476-2000
Entity
Organization

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
18002272A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M400031448
MEDICARE INDIVIDUAL PTAN
IN
Enumeration date
10/13/2010
Last updated
12/17/2012
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