Organization Active NPI

A. D. Miles & Associates, LLC

  • Optometrist
  • Macon, GA
National Provider Identifier
1174573372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002199 Issued in GA
Legal business name
A. D. MILES & ASSOCIATES, LLC
Practice address
4350 Mercer University Dr
Macon, GA 31206-4118
Phone
(478) 750-7830
NPI assigned
May 11, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Alyce D Miles, OD
Title
Owner
Phone
(478) 750-7830

National Provider Directory

National Provider Directory

Locations

4350 Mercer University Dr
Macon, GA 31206
Phone (478) 474-3228

3075 Vineville Ave
Macon, GA 31204
Phone (478) 750-7830

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002199 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

4350 Mercer University Dr
Macon, GA 31206-4118

Mailing address

3075 Vineville Ave
Macon, GA 31204-2460
Phone (478) 750-7830

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174573372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042460",
            "telephone_number": "478-750-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MERCER UNIVERSITY DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312064118",
            "telephone_number": "478-750-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. D. MILES & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "ALYCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-750-7830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.