Active NPI
David H Mills, OD
- Vision Therapy Optometrist
- Elizabethton, TN
National Provider Identifier
1184614083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 0710
- 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, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3945609 | Medicaid | TN | |
| 1669505939 | Other | WPS TRICARE | |
| 0124024 | Other | TN | BLUECROSSBLUESHIELD OF TN |
| 7909631 | Medicaid | NC | |
| P00914229 | Other | TN | MEDICARE 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
Enrollment records 1
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
Practice addresses (Care Compare)
321 E Elk Ave
Elizabethton, TN 37643-3221
Phone (423) 542-2512
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710 | TN | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mills Optometric Associates, PC | Vision Therapy | Current | 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.
-
- Vision Therapy Optometrist
- Elizabethton, TN
- NPI 1669505939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.