Individual provider Active NPI

Jeff A McMillian, O.D.

  • Optometrist
  • Atoka, TN
National Provider Identifier
1194701110
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1601 Issued in TN
Practice address
185 Wesley Reed Dr
Ste. E
Atoka, TN 38004-4955
Phone
(901) 840-3937
Fax
(901) 840-3395
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 12

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Myeyedr Optometry of Tennessee LLC 45 clinicians

Practice addresses (Care Compare)

185 Wesley Reed Dr
Suite E
Atoka, TN 38004-4955
Phone (901) 840-3397

629 Market St
Suite 115
Chattanooga, TN 37402-4891
Phone (423) 265-4306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery104

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040127000621 TN Practitioner - Optometry 5597668780 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Atoka, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODT1601TNMDOptometrist
1601TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McMillian Eye Care Optometrist CurrentSince Jul 24, 2002 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Aug 18, 2025 Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Tennessee, LLC Optometrist CurrentSince Aug 18, 2025 Accepting new patients

Locations

185 Wesley Reed Dr
Ste E
Atoka, TN 38004
Phone (901) 840-3927

2817 Bartlett Blvd
Bartlett, TN 38134
Phone (901) 371-0770

629 Market St
Ste 115
Chattanooga, TN 37402
Phone (423) 265-4306

2075 Exeter Rd
Ste 70
Germantown, TN 38138
Phone (901) 754-2020

3295 Poplar Ave
Ste 107
Memphis, TN 38111
Phone (901) 324-2122

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODT1601 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

185 Wesley Reed Dr
Ste. E
Atoka, TN 38004-4955

Mailing address

PO Box 383
Atoka, TN 38004-0383
Phone (901) 840-3937

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3941960MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2024.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1194701110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380040383",
            "telephone_number": "901-840-3937",
            "fax_number": "901-840-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WESLEY REED DR",
            "address_2": "STE. E",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380044955",
            "telephone_number": "901-840-3937",
            "fax_number": "901-840-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIAN",
        "first_name": "JEFF",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3941960",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, TN

Sources for this page

Verify at the official NPI Registry.