NPIMap

Organization Active NPI

Miles Eye Center PLLC

  • Ophthalmology Physician
  • Show Low, AZ
National Provider Identifier
1285864652
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
37479 Issued in AZ
Legal business name
MILES EYE CENTER PLLC
Practice address
1951 S White Mountain Rd
1001
Show Low, AZ 85901-7322
Phone
(928) 535-6667
Fax
(928) 535-5561
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
William B Miles, MDNPI 1093715252
Title
President
Phone
(928) 368-3125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 37479 AZ Primary

Addresses

Primary practice location

1951 S White Mountain Rd
1001
Show Low, AZ 85901-7322

Mailing address

PO Box 969
Overgaard, AZ 85933-0969
Phone (928) 535-6667

Other identifiers 2

IdentifierTypeStateIssuer
690869MedicaidAZ
Z131848OtherAZMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090911000075 AZ Part B Supplier - Clinic/Group Practice 5597810713 Receives reassigned benefits from 3 practitioners
Practice locations: Globe, AZ
O20181030000574 NE Part B Supplier - Clinic/Group Practice 5597810713 Receives reassigned benefits from 1 practitioner
Practice locations: Oneill, NE

National Provider Directory

National Provider Directory

Locations

1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086

1951 S White Mountain Rd
#1001
Show Low, AZ 85901
Phone (928) 537-2010

2900 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 371-8535

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1285864652",
    "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": "1951 S WHITE MOUNTAIN RD",
            "address_2": "1001",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017322",
            "telephone_number": "928-535-6667",
            "fax_number": "928-535-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES EYE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-368-3125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "37479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690869",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z131848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.