Tyler John Michael Mills, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002504 Issued in PA

Practice address

571 Haddon Ave
Collingswood, NJ 08108-1445

Phone

(856) 858-3937

NPI assigned

Jul 5, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Eye Medford LLCGroup PAC ID 2961865332, 5 clinicians

Premier Eye Associates LLCGroup PAC ID 2961624358, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Eye Associates, LLC

  • Optometrist
  • Collingswood, NJ
  • NPI 1699192070
  Medicare reassignment Care Compare group NPD
• Premier Eye Marlton, LLC

  • Optometrist
  • Marlton, NJ
  • NPI 1891439600
  Medicare reassignment NPD Authorized official
• Premier Eye Medford LLC

  • Optometrist
  • Medford, NJ
  • NPI 1639853062
  Medicare reassignment Care Compare group NPD
• Correctional Vision Consultants LLC

  • Optometrist
  • Collingswood, NJ
  • NPI 1518767334
  NPD Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1194012633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081445",
            "telephone_number": "856-858-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081445",
            "telephone_number": "856-858-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "TYLER",
        "middle_name": "JOHN MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert McGrath, DC
• Jodi B Meadvin, DMD
• Kathryn L Meininger, D.P.M.
• Michelle Carlino
• Kathryn Nicole Miller, LAC
• Mind Body Soul Wellness Center LLC
• Christine Minerva, LCSW
• Dani Michelle Moffit, MA, ATC
• Kim Molinari
• Jason N Moraleda, M.D.

• Optometrist in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.

Verify at the official NPI Registry.