Provider Demographics
NPI:1619028107
Name:MILEW, ALLAN GAY (OD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:GAY
Last Name:MILEW
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2147
Mailing Address - Country:US
Mailing Address - Phone:760-433-2227
Mailing Address - Fax:760-433-2227
Practice Address - Street 1:3601 W FLORIDA AVE
Practice Address - Street 2:HEMET VALLEY CENTER
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-3514
Practice Address - Country:US
Practice Address - Phone:951-652-3772
Practice Address - Fax:951-766-4244
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAT4660152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAN-SD0046600Medicare ID - Type Unspecified
CAU92016Medicare UPIN