MEDICARE: DR. JOHN F. MILESKI OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.0003445	CO

General Provider Information

NPI Number	:	1477544492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F. MILESKI OD

Provider Business Mailing Address
First Line	:	1268 INTERQUEST PKWY STE 120
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-4209
Country	:	US
Telephone Number	:	719-463-0200
Fax Number	:	719-301-3322

Provider Business Practice Location Address
First Line	:	1268 INTERQUEST PKWY STE 120
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80921-4209
Country	:	US
Telephone Number	:	719-463-0200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	03/21/2022

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