Individual provider Active NPI

Henry E. Miles, O.D.

  • Optometrist
  • St. Augustine, FL
National Provider Identifier
1295754182
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2080 Issued in FL
Practice address
25 Deltona Blvd.
Suite 1
St. Augustine, FL 32086-4204
Phone
(904) 797-5760
Fax
(904) 797-5762
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2080 FL Primary

Addresses

Primary practice location

25 Deltona Blvd.
Suite 1
St. Augustine, FL 32086-4204

Mailing address

25 Deltona Blvd
Suite 1
St Augustine, FL 32086-4204
Phone (904) 797-5760

Other identifiers 1

IdentifierTypeStateIssuer
19013-ZOtherFLMEDICARE ID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051007000635 FL Practitioner - Optometry 8820013949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1985
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)

25 Deltona Blvd
St Augustine, FL 32086-4204
Phone (904) 797-5760

3506 Saint Johns Ave
Palatka, FL 32177-4022
Phone (386) 328-4456

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Eye Associates PA Optometrist CurrentSince Jan 1, 1986 Accepting new patients

Locations

3424 Saint Johns Ave
Palatka, FL 32177
Phone (386) 325-4567

3506 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-4456

25 Deltona Blvd
Ste 1
St Augustine, FL 32086
Phone (904) 797-5760

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1295754182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DELTONA BLVD",
            "address_2": "SUITE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320864204",
            "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.",
            "address_2": "SUITE 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": "HENRY",
        "middle_name": "E.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "19013-Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Augustine, FL

Sources for this page

Verify at the official NPI Registry.