Provider Demographics
NPI:1982870531
Name:MILAM'S, INC.
Entity Type:Organization
Organization Name:MILAM'S, INC.
Other - Org Name:MILAM'S OPTICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-292-8269
Mailing Address - Street 1:3920 HILLSBORO CIR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2707
Mailing Address - Country:US
Mailing Address - Phone:615-292-8269
Mailing Address - Fax:615-297-3525
Practice Address - Street 1:2010 CHURCH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2012
Practice Address - Country:US
Practice Address - Phone:615-327-4419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MILAM'S, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-05
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPO0000001030332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0683870002Medicare NSC