Individual provider Active NPI

Miles Jeffery Newman, OD

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1710953500
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000274 Issued in VA
Practice address
5049 Valley View Blvd NW
Roanoke, VA 24012-2074
Phone
(540) 362-7565
Fax
(540) 563-0441
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000274 VA Primary

Addresses

Primary practice location

5049 Valley View Blvd NW
Roanoke, VA 24012-2074

Mailing address

5049A Valley View Blvd
Roanoke, VA 24012-2075
Phone (540) 362-7565

Other practice location 1

3763 Franklin Rd SW
Roanoke, VA 24014-2261
Phone (540) 989-6515

Other practice location 2

1205 W Main St
Salem, VA 24153-4709
Phone (540) 444-5656

Other practice location 3

8125 Timberlake Rd
Lynchburg, VA 24502-2607
Phone (434) 237-2100

Other practice location 4

442 Peppers Fry Rd NW
Christiansburg, VA 24073-5780
Phone (540) 382-1731

Other identifiers 1

IdentifierTypeStateIssuer
009204695MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100527000494 VA Practitioner - Optometry 0042239154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000274VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1710953500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049A VALLEY VIEW BLVD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122075",
            "telephone_number": "540-362-7565",
            "fax_number": "540-563-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122074",
            "telephone_number": "540-362-7565",
            "fax_number": "540-563-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3763 Franklin Rd SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142261",
            "country_code": "US",
            "telephone_number": "540-989-6515",
            "fax_number": "540-772-2597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241534709",
            "country_code": "US",
            "telephone_number": "540-444-5656",
            "fax_number": "540-444-5660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8125 Timberlake Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022607",
            "country_code": "US",
            "telephone_number": "434-237-2100",
            "fax_number": "434-239-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "442 Peppers Fry Rd NW",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240735780",
            "country_code": "US",
            "telephone_number": "540-382-1731",
            "fax_number": "540-382-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MILES",
        "middle_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204695",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.