Active NPI
Milan Eye Clinic
- Optometrist
- Milan, TN
National Provider Identifier
1487840401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1009
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1928 | TN | |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0075622 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| 3370241 | Medicaid | TN | |
| 4085708 | Other | TN | BLUE CROSS BLUE SHIELD TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Milan Eye Clinic | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Milan, TN
- NPI 1841211638
-
- Optometrist
- Milan, TN
- NPI 1417978206
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.