Active NPI
Jeff A McMillian, O.D.
- Optometrist
- Atoka, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODT1601
- 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.
-
- Optometrist
- Atoka, TN
- NPI 1336904077
-
- Optometrist
- Chattanooga, TN
- NPI 1619481587
-
- Optometrist
- Columbia, TN
- NPI 1285274670
-
- Optometrist
- Jackson, TN
- NPI 1134696677
-
- Optometrist
- Humboldt, TN
- NPI 1477020923
-
- Optometrist
- Memphis, TN
- NPI 1497230130
-
- Optometrist
- Dyersburg, TN
- NPI 1518434067
-
- Optometrist
- Memphis, TN
- NPI 1720547144
-
- Optometrist
- Jacksboro, TN
- NPI 1831868793
-
- Optometrist
- Ripley, TN
- NPI 1881161321
-
- Optometrist
- Mt Juliet, TN
- NPI 1588516918
-
- Optometrist
- Memphis, TN
- NPI 1780143123
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 104 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ODT1601 | TN | MD | Optometrist |
| 1601 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McMillian Eye Care | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Tennessee, LLC | Optometrist | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODT1601 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3941960 | Medicaid | TN |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.