Active NPI
A. D. Miles & Associates, LLC
- Optometrist
- Macon, GA
National Provider Identifier
1174573372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002199
- 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002199 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.