Individual provider Active NPI

Grace Rebecca Mills

  • Optometrist
  • Sanford, ME
National Provider Identifier
1346082047
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1082 Issued in ME
Practice address
272 Cottage St
Sanford, ME 04073-1815
Phone
(207) 324-8888
Fax
(207) 490-1716
NPI assigned
Jun 12, 2024
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT1082 ME Primary

Addresses

Primary practice location

272 Cottage St
Sanford, ME 04073-1815

Mailing address

272 Cottage St
Sanford, ME 04073-1815
Phone (207) 324-8888

Other practice location 1

65 Portland Rd
Kennebunk, ME 04043-6742
Phone (207) 985-7353

Other practice location 2

1 Dunkin Run Unit 3
East Waterboro, ME 04030-5439
Phone (207) 247-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20240717001131 ME Practitioner - Optometry 8628513421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Eye Care, P.a.Group PAC ID 7012951775, 10 clinicians

Practice addresses (Care Compare)

272 Cottage St
Sanford, ME 04073-1815
Phone (207) 324-8888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1082MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Care, P.a. Optometrist CurrentSince Sep 3, 2024 Accepting new patients

Locations

1 Dunkin Run
Unit 3
East Waterboro, ME 04030
Phone (207) 247-3005

65 Portland Rd
Kennebunk, ME 04043
Phone (207) 985-6181

272 Cottage St
Sanford, ME 04073
Phone (207) 324-7946

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1346082047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888",
            "fax_number": "207-490-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 COTTAGE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040731815",
            "telephone_number": "207-324-8888",
            "fax_number": "207-490-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Portland Rd",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436742",
            "country_code": "US",
            "telephone_number": "207-985-7353",
            "fax_number": "207-985-6640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Dunkin Run Unit 3",
            "address_purpose": "LOCATION",
            "city": "East Waterboro",
            "state": "ME",
            "postal_code": "040305439",
            "country_code": "US",
            "telephone_number": "207-247-3005",
            "fax_number": "207-247-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "GRACE",
        "middle_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.