Individual
MRS. ANNA R MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14994 W MAIN ST, LOUISVILLE, MS 39339-2616
(662) 773-3494
(662) 773-7883
Mailing address
14994 W MAIN ST, LOUISVILLE, MS 39339-2616
(627) 733-4946
(662) 773-7883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
996
MS
Other
Enumeration date
07/16/2019
Last updated
10/02/2023
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