Active NPI
Joe D Miles, O.D.
- Corneal and Contact Management Optometrist
- Colorado Springs, CO
National Provider Identifier
1164458394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OPT 1939
- Practice address
- 3155 N Union Blvd
Colorado Springs, CO 80907-8703 - Phone
- (719) 219-1312
- Fax
- (719) 635-3578
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPT 1939 | CO | Primary |
Addresses
Primary practice location
3155 N Union Blvd
Colorado Springs, CO 80907-8703
Mailing address
3155 N Union Blvd
Colorado Springs, CO 80907-8703
Phone (719) 219-1312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT 1939 | Other | CO | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 1939 | CO | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1164458394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809078703",
"telephone_number": "719-219-1312",
"fax_number": "719-635-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 N UNION BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809078703",
"telephone_number": "719-219-1312",
"fax_number": "719-635-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JOE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CO",
"license": "OPT 1939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OPT 1939",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.