Miles Eye Center, Pllc

NPI #1184032963 in Lakeside, Arizona

Provider Information

NPI Number: 1184032963
Entity Type: Organization
Organization Name: Miles Eye Center, Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Jul 24, 2014
Last Updated: Jul 24, 2014

Practice Location

Address: 1355 W WHITE MOUNTAIN BLVD
Address 2: SUITE A
City: Lakeside
State: Arizona
ZIP Code: 85929-6395
Phone: (928) 367-2010

Authorized Official

Name: LINDA S BURGESS
Title: CREDENTIALING MANAGER
Phone: (928) 535-6667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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