Individual provider Active NPI

David H Mills, OD

  • Vision Therapy Optometrist
  • Elizabethton, TN
National Provider Identifier
1184614083
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
0710 Issued in TN
Practice address
321 E Elk Ave
Elizabethton, TN 37643-3221
Phone
(423) 542-2512
Fax
(423) 542-0477
NPI assigned
Oct 24, 2005
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 0710 TN Primary

Addresses

Primary practice location

321 E Elk Ave
Elizabethton, TN 37643-3221

Mailing address

321 E Elk Ave
Elizabethton, TN 37643-3221
Phone (423) 542-2512

Other identifiers 5

IdentifierTypeStateIssuer
3945609MedicaidTN
1669505939OtherWPS TRICARE
0124024OtherTNBLUECROSSBLUESHIELD OF TN
7909631MedicaidNC
P00914229OtherTNMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100219000223 TN Practitioner - Optometry 5395790794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills Optometric Associates, PCGroup PAC ID 1052505914, 2 clinicians

Practice addresses (Care Compare)

321 E Elk Ave
Elizabethton, TN 37643-3221
Phone (423) 542-2512

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710TNMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Optometric Associates, PC Vision Therapy CurrentSince Dec 1, 1995 Accepting new patients

Locations

321 E Elk Ave
Elizabethton, TN 37643
Phone (423) 542-2512

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1184614083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433221",
            "telephone_number": "423-542-2512",
            "fax_number": "423-542-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433221",
            "telephone_number": "423-542-2512",
            "fax_number": "423-542-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "0710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945609",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "1669505939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF TN",
            "identifier": "0124024",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909631",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00914229",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.