Individual provider Active NPI

Joe Patterson McMillin Jr., OD

  • Optometrist
  • Lexington, KY
National Provider Identifier
1396830162
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1220DT Issued in KY
Practice address
340 Meijer Way
Lexington, KY 40503-3340
Phone
(859) 278-2020
Fax
(859) 277-4490
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1220DT KY Primary

Addresses

Primary practice location

340 Meijer Way
Lexington, KY 40503-3340

Mailing address

340 Meijer Way
Lexington, KY 40503-3340
Phone (859) 278-2020

Other identifiers 1

IdentifierTypeStateIssuer
77012201MedicaidKY

Other names 1

  • Dr. Joe P McMillin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20071207000608 KY Practitioner - Optometry 8426147877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simpson Optical PLLCGroup PAC ID 6406847029, 10 clinicians

Practice addresses (Care Compare)

340 Meijer Way
Lexington, KY 40503-3340
Phone (859) 278-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1396830162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MEIJER WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033340",
            "telephone_number": "859-278-2020",
            "fax_number": "859-277-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MEIJER WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033340",
            "telephone_number": "859-278-2020",
            "fax_number": "859-277-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLIN",
        "first_name": "JOE",
        "middle_name": "PATTERSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1220DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012201",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "MCMILLIN",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.