Miles, John David
Miles, John David is an individual health care provider with primary practice located at 415 Metro Ave , Evansville IN 47715-2805. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miles, John David can be contacted via phone (812) 476-2000.Contact Information
Primary practice address
415 Metro Ave
Evansville IN 47715-2805
Phone: (812) 476-2000
Fax: (812) 477-1533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002272 | Indiana |
Profile Details
| NPI number | 1164483202 |
|---|---|
| LBN Legal business name | Miles, John David |
| Credentials | OPTOMETRIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 21st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164483202 | NPPES |
| Indiana | Other | M400031448 | INDIVIDUAL PTAN |
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