Organization Active NPI

McMillian Eye Care

  • Optometrist
  • Atoka, TN
National Provider Identifier
1023288776
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1601 Issued in TN
Legal business name
MCMILLIAN EYE CARE
Practice address
185 Wesley Reed Dr
Ste E
Atoka, TN 38004-4955
Phone
(901) 840-3937
Fax
(901) 840-3395
NPI assigned
Mar 10, 2008
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Allen McMillian, O.D.
Title
Doctor/Owner
Phone
(901) 840-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT1601 TN Primary

Addresses

Primary practice location

185 Wesley Reed Dr
Ste E
Atoka, TN 38004-4955

Mailing address

185 Wesley Reed Dr
Ste E
Atoka, TN 38004-4955
Phone (901) 840-3937

Other identifiers 1

IdentifierTypeStateIssuer
3941962MedicaidTN

National Provider Directory

National Provider Directory

Locations

185 Wesley Reed Dr
Ste E
Atoka, TN 38004
Phone (901) 840-3927

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1023288776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WESLEY REED DR",
            "address_2": "STE E",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044955",
            "telephone_number": "901-840-3937",
            "fax_number": "901-840-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WESLEY REED DR",
            "address_2": "STE E",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044955",
            "telephone_number": "901-840-3937",
            "fax_number": "901-840-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMILLIAN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "MCMILLIAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "901-840-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3941962",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.