Thy Mim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

14578 Issued in CA

Practice address

2035 Lyndell Ter
Ste 100
Davis, CA 95616-6222

Phone

(530) 757-6000

NPI assigned

Jan 31, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1225377914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LYNDELL TER STE 100",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LYNDELL TER",
            "address_2": "STE 100",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166222",
            "telephone_number": "530-757-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIM",
        "first_name": "THY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Frank Miller, CRNA
• Andrew Mills
• Cara Mills, NP
• Jarrod McKay Mills, PHARM.D.
• Joshua John Milro, RBT
• Amber Christine Mitchell, B.A.
• Karen Louise Mo, M.D.
• Mackenzie Moak
• Mobile Psychotherapy, a Marriage and Family Corporation (Clarity Counseling)
• Mark Moeller, M.D.

• Optometrist in Davis, CA
• Providers in Davis, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.