MR. DALE L MILES (NPI# 1578612131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578612131 |
| Entity Type | Individual |
| Full Name | MR. DALE L MILES |
| Credential | O.D. |
| Practice Address |
705 Blue Lakes Blvd N Suite B Twin Falls ID 83301-4007 |
| Practice Telephone | 2087320435 |
| Practice Fax Number | 2087320435 |
| Mailing Telephone | 2087320435 |
| Mailing Fax Number | 2087320435 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODD-483 | ID | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | V039-3 | 01 |
| ID | NVA | 130128 | 01 |
| ID | CLARITY VISION | MI84250 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457441859 | Dale A Miles | Dentist | 316 Stephenson Avenue, Savannah, GA 31405 | 2006-10-14 |
| Street Address |
705 BLUE LAKES BLVD N SUITE B |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043256951 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 705 Blue Lakes Blvd N, Twin Falls, ID 83301-4007 | 2006-06-20 |
| 1093320624 | Trell James Dowd | Pharmacist | 705 Blue Lakes Blvd N, Twin Falls, ID 83301 | 2020-09-10 |
| 1245781574 | Fred Meyer Pharmacy | Clinic/Center | 705 Blue Lakes Blvd N, Twin Falls, ID 83301-4007 | 2016-10-21 |
| 1134467343 | John Robert Deboard | Pharmacist | 705 Blue Lakes Blvd N, Twin Falls, ID 83301-4007 | 2013-01-22 |
| 1316211873 | Eric Vern Herzog | Pharmacist | 705 Blue Lakes Blvd N, Twin Falls, ID 83301-4007 | 2012-03-01 |
| 1558660431 | Anthony James Vaughn | Pharmacist | 705 Blue Lakes Blvd N, Twin Falls, ID 83301-4007 | 2011-03-18 |
| 1316096993 | Chris Harmon LLC Dba Eye Valu Vision Center | Eyewear Supplier (Equipment, not the service) | 705 Blue Lakes Blvd N, Suite B, Twin Falls, ID 83301-4007 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760504237 | Isaiah Austin | Optometrist | 731 Poleline Rd, Twin Falls, ID 83301-3036 | 2007-04-04 |
| 1528126562 | Jay A. Hartwell | Optometrist | 1543 Poleline Rd E, Twin Falls, ID 83301-3590 | 2006-12-04 |
| 1760559223 | Verlyn Dean Broek | Optometrist | 215 4th Ave N, Twin Falls, ID 83301-6139 | 2006-11-29 |
| 1942376058 | Jennifer Kay Ruprecht | Optometrist | 1952 Addison Ave E, Twin Falls, ID 83301-5304 | 2006-11-28 |
| 1437248267 | Ann Rene Braga | Optometrist | 691 Shoshone St N, Twin Falls, ID 83301-6154 | 2006-10-12 |
| 1770683757 | Scott B Wayment | Optometrist | 1096 Eastland Dr N Ste 300, Twin Falls, ID 83301-8970 | 2006-09-22 |
| 1598863029 | Cheaper Peepers LLC | Optometrist | 525 Blue Lakes Blvd N, Twin Falls, ID 83301-4034 | 2006-09-20 |
| 1477657013 | Gary P. Walker, O.d. PC | Optometrist | 1067 Eastland Dr, Twin Falls, ID 83301-6747 | 2006-09-12 |
| 1639280951 | Robert B Grill | Optometrist | 844 Shoshone St E, Twin Falls, ID 83301-6336 | 2006-08-31 |
| 1427169416 | Southern Idaho Vision Alliance,pllc | Optometrist | 2051 Trail Creek Cir, Twin Falls, ID 83301-8352 | 2006-08-31 |
| Find all providers in TWIN FALLS | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.