Active NPI
Gladys C Mills OD PA
- Optometrist
- San Antonio, TX
National Provider Identifier
1306034517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5260T
- Legal business name
- GLADYS C MILLS OD PA
- Practice address
- 6703 B NW Loop 410
San Antonio, TX 78238-4504 - Phone
- (210) 681-1125
- Fax
- (210) 681-1148
- NPI assigned
- Oct 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gladys C Mills, OD
- Title
- Owner, Optometrist
- Phone
- (210) 681-1125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5260T | TX | Primary |
Addresses
Primary practice location
6703 B NW Loop 410
San Antonio, TX 78238-4504
Mailing address
6703 B NW Loop 410
San Antonio, TX 78238
Phone (210) 681-1125
National Provider Directory
National Provider DirectoryLocations
6703 NW Loop 410
#B
San Antonio, TX 78238
Phone (210) 681-1125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207180800000",
"number": "1306034517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6703 B NW LOOP 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78238",
"telephone_number": "210-681-1125",
"fax_number": "210-681-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6703 B NW LOOP 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782384504",
"telephone_number": "210-681-1125",
"fax_number": "210-681-1148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLADYS C MILLS OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2008-04-03",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "GLADYS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER, OPTOMETRIST",
"authorized_official_telephone_number": "210-681-1125",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "5260T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.