Active NPI
Tri County Eye Associates PA
- Optometrist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2080
- Legal business name
- TRI COUNTY EYE ASSOCIATES PA
- Practice address
- 25 Deltona Blvd
Suite 1
St Augustine, FL 32086-4204 - Phone
- (904) 797-5760
- Fax
- (904) 797-5762
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry E. Miles, O.D.
- Title
- Owner
- Phone
- (904) 797-5760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC2080 | FL | Primary |
Addresses
Primary practice location
25 Deltona Blvd
Suite 1
St Augustine, FL 32086-4204
Mailing address
25 Deltona Blvd
Suite 1
St Augustine, FL 32086-4204
Phone (904) 797-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tri County Eye Associates PA | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Tri County Eye Associates PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Jacksonville, FL
- NPI 1164570636
-
- Optometrist
- Palatka, FL
- NPI 1851440275
Locations
1403 Dunn Ave
Ste 5
Jacksonville, FL 32218
Phone (904) 696-0883
3506 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-4456
25 Deltona Blvd
Ste 1
St Augustine, FL 32086
Phone (904) 797-5760
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- St. Augustine, FL
- NPI 1295754182
-
- Optometrist
- St. Augustine, FL
- NPI 1316966203
-
- Optometrist
- St. Augustine, FL
- NPI 1760401566
-
- Optometrist
- St Augustine, FL
- NPI 1235627324
-
- Optometrist
- St Augustine, FL
- NPI 1578030177
-
- Optometrist
- St. Augustine, FL
- NPI 1417061946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1114083367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 DELTONA BLVD",
"address_2": "SUITE 1",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864204",
"telephone_number": "904-797-5760",
"fax_number": "904-797-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DELTONA BLVD",
"address_2": "SUITE 1",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864204",
"telephone_number": "904-797-5760",
"fax_number": "904-797-5762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY EYE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-797-5760",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.