Organization Active NPI

Dr. Angela Milam & Associates, PLLC

Doing business as Angel Eyes Vision

  • Optometrist
  • Memphis, TN
National Provider Identifier
1689270464
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. ANGELA MILAM & ASSOCIATES, PLLC
Doing business as
Angel Eyes Vision
Practice address
2760 N Germantown Pkwy Ste 109
Memphis, TN 38133-8154
Phone
(901) 827-1008
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Dr. Angela Milam, ODNPI 1821531252
Title
Ceo & Chief Medical Director
Phone
(901) 827-1008

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

2760 N Germantown Pkwy Ste 109
Memphis, TN 38133-8154

Mailing address

130 Colegrove St
Memphis, TN 38120-2013
Phone (901) 827-1008

Other names 1

  • Angel Eyes Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210114001838 TN Part B Supplier - Clinic/Group Practice 3779996681 Receives reassigned benefits from 7 practitioners
Practice locations: Jackson, TN; Memphis, TN
O20230327001021 MS Part B Supplier - Clinic/Group Practice 3779996681 Receives reassigned benefits from 1 practitioner
Practice locations: Tupelo, MS

National Provider Directory

National Provider Directory

Locations

2021 N Highland Ave
Ste B6
Jackson, TN 38305
Phone (731) 664-6198

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1689270464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COLEGROVE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202013",
            "telephone_number": "901-827-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 N GERMANTOWN PKWY STE 109",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338154",
            "telephone_number": "901-827-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANGELA MILAM & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO & CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-827-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Eyes Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.