NPI 1174573372 · live from the CMS NPI Registry
A. D. Miles & Associates, LLC
Optometrist in Macon, GA. National Provider Identifier 1174573372, active.
NPI record
| NPI | 1174573372 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4350 Mercer University Dr, Macon, GA 31206 |
| Practice phone | 478-750-7830 |
| Mailing address | 3075 Vineville Ave, Macon, GA 31204 |
| Enumerated | May 11, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Alyce Miles, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 002199 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.