Gene Robinson Miles

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5496 Issued in FL

Practice address

25 Deltona Blvd Ste 1
St Augustine, FL 32086-4204

Phone

(904) 797-5760

Fax

(904) 797-5762

NPI assigned

Apr 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri County Eye Associates PAGroup PAC ID 1951400324, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tri County Eye Associates PA

  • Optometrist
  • St Augustine, FL
  • NPI 1114083367
  Medicare reassignment Care Compare group NPD
• Tri County Eye Associates PA

  • Optometrist
  • Palatka, FL
  • NPI 1851440275
  NPD

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1235627324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CREEKSIDE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865406",
            "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 STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864204",
            "telephone_number": "904-797-5760",
            "fax_number": "904-797-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "GENE",
        "middle_name": "ROBINSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Niveen Mikhail, M.D.
• Michael Joseph Milano
• Michael Eric Milek, ATC
• Charles S. Miles, O.D.
• David E. Miles, O.D.
• Henry E. Miles, O.D.
• Monica Lee Miles, OD
• William F Miles, O.D.
• Elaine Militello, CRNA
• Mill Creek Family Care

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.