Provider Demographics
NPI:1487615076
Name:PRESS, MILES W (OD)
Entity type:Individual
Prefix:DR
First Name:MILES
Middle Name:W
Last Name:PRESS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7314 BEECHPLUM RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-7444
Mailing Address - Country:US
Mailing Address - Phone:540-841-3937
Mailing Address - Fax:
Practice Address - Street 1:801 JAMES MADISON HWY
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2405
Practice Address - Country:US
Practice Address - Phone:540-825-3937
Practice Address - Fax:540-825-3939
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601000688152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVV4216A910Medicare PIN