Organization Active NPI

Milan Eye Clinic

  • Optometrist
  • Milan, TN
National Provider Identifier
1487840401
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1009 Issued in TN
Legal business name
MILAN EYE CLINIC
Practice address
6032 Telecom Dr
Milan, TN 38358-3447
Phone
(731) 686-1647
Fax
(731) 686-1005
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Dr. Carol R. Minton, O.D.
Title
Optometrist
Phone
(731) 686-1647

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1928 TN
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1009 TN Primary

Addresses

Primary practice location

6032 Telecom Dr
Milan, TN 38358-3447

Mailing address

6032 Telecom Dr
Milan, TN 38358-3447
Phone (731) 686-1647

Other identifiers 3

IdentifierTypeStateIssuer
0075622OtherTNBLUE CROSS BLUE SHIELD TN
3370241MedicaidTN
4085708OtherTNBLUE CROSS BLUE SHIELD TN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080226000358 TN Part B Supplier - Clinic/Group Practice 6305920620 Receives reassigned benefits from 2 practitioners
Practice locations: Milan, TN
O20100930080877 TN DME Supplier - Physician - Optometrist 6305920620 Practice locations: Milan, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Milan Eye Clinic6032 Telecom Dr, Milan, TN 38358-3447(731) 686-1647 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Feb 15, 2008

National Provider Directory

National Provider Directory

Locations

6032 Telecom Dr
Milan, TN 38358
Phone (731) 686-1647

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1487840401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 TELECOM DR",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583447",
            "telephone_number": "731-686-1647",
            "fax_number": "731-686-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 TELECOM DR",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583447",
            "telephone_number": "731-686-1647",
            "fax_number": "731-686-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "MINTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "731-686-1647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1928",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "0075622",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370241",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4085708",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.