Active NPI
Mark Gregory Mills, O.D.
- Optometrist
- Athens, GA
National Provider Identifier
1114040763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1288
- Practice address
- 1850 Epps Bridge Pkwy Ste 325
Athens, GA 30606-6186 - Phone
- (706) 433-0311
- Fax
- (706) 433-0312
- NPI assigned
- Apr 9, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1288 | GA | Primary |
| Optometrist | 152W00000X | 1550 | SC |
Addresses
Primary practice location
1850 Epps Bridge Pkwy Ste 325
Athens, GA 30606-6186
Mailing address
1850 Epps Bridge Pkwy Ste 325
Athens, GA 30606-6186
Phone (706) 433-0311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT001288 | Other | GA | GA. LICENSE |
| 1550 | Other | SC | SOUTH CAROLINA BOARD OF OPTOMETRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1288 | GA | MD | Optometrist |
| 1550 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optician
- Athens, GA
- NPI 1457582306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114040763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 EPPS BRIDGE PKWY STE 325",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066186",
"telephone_number": "706-433-0311",
"fax_number": "706-433-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 EPPS BRIDGE PKWY STE 325",
"city": "ATHENS",
"state": "GA",
"postal_code": "306066186",
"telephone_number": "706-433-0311",
"fax_number": "706-433-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "MARK",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1288",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1550",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA. LICENSE",
"identifier": "OPT001288",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA BOARD OF OPTOMETRY",
"identifier": "1550",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.