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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164483202 NPPES
Indiana Other M400031448 INDIVIDUAL PTAN

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