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Physician Compare National (NPI:1649232018)

HEALTHCARE PROVIDER: MILES W RHYNE JR. O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1649232018
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4486744810
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080514000397
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RHYNE
Individual professional last name
Provider First Name MILES
Individual professional first name
Provider Middle Name W
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1974
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 9051 EXECUTIVE PARK DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 400
Group Practice or individual's line 2 address
City KNOXVILLE
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 379234628
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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