Micah Sean Mills, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP100163 Issued in ID

Practice address

1702 S Kimball Ave
Caldwell, ID 83605-4826

Phone

(208) 459-2641

Fax

(208) 459-2895

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Optometry

Education

Southern California College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Micah S Mills OD PAGroup PAC ID 6305038365, 3 clinicians

Veh, IncGroup PAC ID 5698890739, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Micah S Mills OD PA

  • Corneal and Contact Management Optometrist
  • Caldwell, ID
  • NPI 1972819365

  ID, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Veh, Inc

  • Optometrist
  • Nampa, ID
  • NPI 1376729491

  ID, Optometrist

  Medicare reassignment Care Compare group NPD
• Total Vision PA

  • Corneal and Contact Management Optometrist
  • Caldwell, ID
  • NPI 1447328463

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1548468580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S KIMBALL AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054826",
            "telephone_number": "208-459-2641",
            "fax_number": "208-459-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S KIMBALL AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054826",
            "telephone_number": "208-459-2641",
            "fax_number": "208-459-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MICAH",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP100163",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3254AT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548468580",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Mikkelson, LPC
• Casey Jay Milburn
• Margaux Elena Miller
• Natasha Miller, MD
• Anastasia Brooke Milliron, NPC
• Jonathan Roy Minkoff, LCPC
• Cailin Maree Mitchell
• Janet E Mitchell, PA-C
• James Masayoshi Miyazaki, NP
• Mobilitycares Arizona LLC

• All providers in Caldwell, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.