Miles Eye Center, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MILES EYE CENTER, PLLC

Practice address

5860 S Hospital Dr
Suite 101
Globe, AZ 85501-9449

Phone

(928) 425-5203

Fax

(928) 425-5620

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Linda S Burgess

Title

Credentialing Manager

Phone

(928) 535-6667

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1255749032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 969",
            "city": "OVERGAARD",
            "state": "AZ",
            "postal_code": "859330969",
            "telephone_number": "928-535-6667",
            "fax_number": "928-535-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019449",
            "telephone_number": "928-425-5203",
            "fax_number": "928-425-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "928-535-6667"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "586099",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medcom Medical, LLC (Palo Verde Family Care, Inc.)
• Ashlyn Marie Medley, PT, DPT
• Abdul Q Memon, MD
• Michael R Durham MD
• Pete Michalak, DO
• William B Miles, MD
• Jamshid Mirzaei, MD
• Jacqueline Virginia Mooney
• Matthew Moran, MD
• Sibongile Cherry Mpofu

• Ophthalmology Physician in Globe, AZ
• Providers in Globe, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.