Individual provider Active NPI

Anna R Miles, O.D.

  • Optometrist
  • Louisville, MS
National Provider Identifier
1861044182
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
996 Issued in MS
Practice address
14994 W Main St
Louisville, MS 39339-2616
Phone
(662) 773-3494
Fax
(662) 773-7883
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 996 MS Primary

Addresses

Primary practice location

14994 W Main St
Louisville, MS 39339-2616

Mailing address

14994 W Main St
Louisville, MS 39339-2616
Phone (627) 733-4946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190824000394 MS Practitioner - Optometry 1951639269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Eye Care PAGroup PAC ID 3274814207, 17 clinicians

Practice addresses (Care Compare)

14994 W Main St
Mississippi Eye Care Louisville
Louisville, MS 39339-2616
Phone (662) 773-3494

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
996MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Eye Care, PA Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Ms Eye Care PA Optometrist CurrentSince Aug 21, 2023 Accepting new patients
Capitaleyes, Inc Optometrist CurrentSince Jul 17, 2019 Accepting new patients

Locations

929 Highway 80 E
Clinton, MS 39056
Phone (601) 924-7274

14994 W Main St
Louisville, MS 39339
Phone (662) 446-9000

5002 Highway 39 N
Bldg B
Meridian, MS 39301
Phone (601) 483-7331

1010 Highway 12 W
Starkville, MS 39759
Phone (662) 324-1901

6 Professional Plz
Starkville, MS 39759
Phone (662) 323-3330

Organizations & group practices 3

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1861044182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "627-733-4946",
            "fax_number": "662-773-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-773-3494",
            "fax_number": "662-773-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ANNA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.