Individual provider Active NPI

Angela Milam, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1821531252
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3357 Issued in TN
Practice address
130 Colegrove St
Memphis, TN 38120-2013
Phone
(901) 827-1008
NPI assigned
Dec 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3357 TN Primary

Addresses

Primary practice location

130 Colegrove St
Memphis, TN 38120-2013

Mailing address

PO Box 172072
Memphis, TN 38187-2072
Phone (901) 827-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170126001616 TN Practitioner - Optometry 4688956626 Reassigns benefits to 1 organization
I20230327001781 MS Practitioner - Optometry 4688956626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Barnes Crossing Rd
Suite 181
Tupelo, MS 38804-0919
Phone (662) 269-6973

2100 Pleasant Plains Ext Rd
Suite C
Jackson, TN 38305-7019
Phone (731) 664-2860

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
Dr. Angela Milam & Associates, PLLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Corey Glenn Persons Optometrist PastSince Jan 1, 2020 Accepting new patients

Locations

1001 Barnes Crossing Rd
Ste 181
Tupelo, MS 38804
Phone (662) 844-5191

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

2100 Pleasant Plains Ext Rd
Ste C
Jackson, TN 38305
Phone (731) 664-6197

2760 N Germantown Pkwy
Ste 109
Memphis, TN 38133
Phone (901) 373-5530

Organizations & group practices 2

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": "1480723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1821531252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172072",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381872072",
            "telephone_number": "901-827-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COLEGROVE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202013",
            "telephone_number": "901-827-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILAM",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-03",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.