NPIMap

Organization Active NPI

Millbrook Eye Care LLC

  • Optometrist
  • Millbrook, AL
National Provider Identifier
1174888770
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-B81-TA-793 Issued in AL
Legal business name
MILLBROOK EYE CARE LLC
Practice address
3331 Highway 14
Millbrook, AL 36054-1838
Phone
(334) 285-4828
Fax
(334) 285-4881
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Bryan Truett Holman, ODNPI 1225285083
Title
Owner
Phone
(334) 403-2005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-B81-TA-793 AL Primary

Addresses

Primary practice location

3331 Highway 14
Millbrook, AL 36054-1838

Mailing address

3331 Highway 14
Millbrook, AL 36054-1838
Phone (334) 285-4828

Other names 1

  • River Region Vision Source Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121207000073 AL Part B Supplier - Clinic/Group Practice 4486806940 Receives reassigned benefits from 5 practitioners
Practice locations: Millbrook, AL

National Provider Directory

National Provider Directory

Locations

758 Monument Dr
Millbrook, AL 36054
Phone (334) 285-4828

3331 Highway 14
Millbrook, AL 36054
Phone (334) 285-4828

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1174888770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 HIGHWAY 14",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541838",
            "telephone_number": "334-285-4828",
            "fax_number": "334-517-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 HIGHWAY 14",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541838",
            "telephone_number": "334-285-4828",
            "fax_number": "334-285-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOK EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "TRUETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-403-2005",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B81-TA-793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Region Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbrook, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.