Individual provider Active NPI

William B Miles, MD

  • Ophthalmology Physician
  • Globe, AZ
National Provider Identifier
1093715252
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23360 Issued in NE
Practice address
1100 N Broad St Ste B
Globe, AZ 85501-2700
Phone
(928) 425-0322
Fax
(928) 425-5620
NPI assigned
Jul 28, 2005
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 37479 AZ
Ophthalmology Physician 207W00000X 23360 NE Primary

Addresses

Primary practice location

1100 N Broad St Ste B
Globe, AZ 85501-2700

Mailing address

1100 N Broad St
Ste B
Globe, AZ 85501-2700
Phone (928) 425-0322

Other identifiers 2

IdentifierTypeStateIssuer
690869MedicaidAZ
47054533500MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, AZ, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050701000774 NE Practitioner - Ophthalmology 2062496524 Reassigns benefits to 2 organizations
I20051012000582 AZ Practitioner - Ophthalmology 2062496524 Reassigns benefits to 1 organization
I20211021000083 TX Practitioner - Ophthalmology 2062496524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feidler Eye Clinic PCGroup PAC ID 9739135401, 4 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

1100 N Broad St
Suite B
Globe, AZ 85501-2700
Phone (928) 425-0322

1100 N Broad St B
Globe, AZ 85501-2700

2800 W Norfolk Ave
Norfolk, NE 68701-4402

2900 W Norfolk Ave
Norfolk, NE 68701-4415
Phone (402) 371-8535

300 N 2ND St
O'Neill, NE 68763-1514
Phone (402) 336-5122

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
20.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23360NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feidler Eye Clinic PC CurrentSince Aug 20, 2007 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Miles Eye Center PLLC Ophthalmology CurrentSince Aug 1, 2009 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 15, 2021 Accepting new patients
Miles Eye Center, PLLC Ophthalmology Past Accepting new patients
Barnet Dulaney Perkins Eye Center Ophthalmology Past Accepting new patients

Locations

1100 N Broad St
Ste B
Globe, AZ 85501
Phone (928) 425-0322

5860 S Hospital Dr
Ste 101
Globe, AZ 85501
Phone (928) 425-5203

1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2800 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8535

2900 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8535

300 N 2nd St
Oneill, NE 68763
Phone (402) 336-2900

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1093715252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N BROAD ST",
            "address_2": "STE B",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012700",
            "telephone_number": "928-425-0322",
            "fax_number": "928-425-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROAD ST STE B",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012700",
            "telephone_number": "928-425-0322",
            "fax_number": "928-425-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "37479",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "23360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690869",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47054533500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.