Alan H Miles OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1767 Issued in FL

Legal business name

ALAN H MILES OD PA

Practice address

2000 S Patrick Dr
Indian Harbour Beach, FL 32937-4462

Phone

(321) 777-1800

Fax

(321) 777-7504

NPI assigned

Jul 14, 2011

Last updated

Oct 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri Johnson

Title

Consultant

Phone

(321) 956-0485

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1346538113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 ASHFORD AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071175",
            "telephone_number": "321-777-1800",
            "fax_number": "321-777-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S PATRICK DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374462",
            "telephone_number": "321-777-1800",
            "fax_number": "321-777-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN H MILES OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "321-956-0485"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1767",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC1767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.