Provider Demographics
NPI:1053388504
Name:MILES, LAURA SARFATIS (MD)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:SARFATIS
Last Name:MILES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:912 NW 139TH STREET PKWY
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-9525
Mailing Address - Country:US
Mailing Address - Phone:405-608-4447
Mailing Address - Fax:405-286-1261
Practice Address - Street 1:912 NW 139TH STREET PKWY
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-9525
Practice Address - Country:US
Practice Address - Phone:405-608-4447
Practice Address - Fax:405-286-1261
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18054207W00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology