Provider Demographics
NPI:1477744332
Name:KATHERINE E MILAM BETTER VIEW FAMILY EYE CARE
Entity Type:Organization
Organization Name:KATHERINE E MILAM BETTER VIEW FAMILY EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:EDWARDS
Authorized Official - Last Name:MILAM
Authorized Official - Suffix:
Authorized Official - Credentials:LDO LICENSED DISPENS
Authorized Official - Phone:828-669-5775
Mailing Address - Street 1:15 JANE JACOBS RD
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-3600
Mailing Address - Country:US
Mailing Address - Phone:828-669-5775
Mailing Address - Fax:828-669-6024
Practice Address - Street 1:15 JANE JACOBS RD
Practice Address - Street 2:SUITE 103A
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-3600
Practice Address - Country:US
Practice Address - Phone:828-669-5775
Practice Address - Fax:828-669-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC836156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8802025Medicaid
1184600001Medicare NSC