Charles S. Miles, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2297 Issued in FL

Practice address

25 Deltona Blvd.
Suite 1
St. Augustine, FL 32086-7020

Phone

(904) 797-5760

Fax

(904) 797-5762

NPI assigned

Jul 19, 2006

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

Other identifiers 1

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

Southern California College of Optometry, 1987

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

State licenses

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1316966203",
    "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": "320867020",
            "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": "320867020",
            "telephone_number": "904-797-5760",
            "fax_number": "904-797-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "CHARLES",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "20370-Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese Jane Micolucci
• Katie Mignon, RMHCI
• Miriam Niveen Mikhail, M.D.
• Michael Joseph Milano
• Michael Eric Milek, ATC
• David E. Miles, O.D.
• Gene Robinson Miles
• Henry E. Miles, O.D.
• Monica Lee Miles, OD
• William F Miles, O.D.

• 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 Feb 8, 2008; 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.