Active NPI
Don Edward Mills Jr OD PA
- Optometrist
- Mooresville, NC
National Provider Identifier
1447379490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DON EDWARD MILLS JR OD PA
- Practice address
- 492 Williamson Rd
Mooresville, NC 28117-9185 - Phone
- (704) 664-9121
- Fax
- (704) 664-4886
- NPI assigned
- Mar 29, 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
- Ms. Donna W Bennett
- Title
- Office Manager
- Phone
- (704) 664-9121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
492 Williamson Rd
Mooresville, NC 28117-9185
Mailing address
492 Williamson Rd
Mooresville, NC 28117-9185
Phone (704) 664-9121
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ3416 | Other | NC | RAILROAD MEDICARE |
| 019MM | Other | NC | BLUE CROSS BLUE SHIELD |
Other names 1
- Eye Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
492 Williamson Rd
Mooresville, NC 28117
Phone (704) 264-7593
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Mooresville, NC
- NPI 1730179300
-
- Optometrist
- Mooresville, NC
- NPI 1922077320
-
- Optometrist
- Mooresville, NC
- NPI 1639238868
-
- Optometrist
- Salisbury, NC
- NPI 1912766460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280793600000",
"number": "1447379490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 WILLIAMSON RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179185",
"telephone_number": "704-664-9121",
"fax_number": "704-664-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 WILLIAMSON RD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179185",
"telephone_number": "704-664-9121",
"fax_number": "704-664-4886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DON EDWARD MILLS JR OD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2010-08-03",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "704-664-9121",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DQ3416",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "019MM",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Care Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.