Individual provider Active NPI

Themistocles Demetrios Millas, O.D.

  • Optometrist
  • Astoria, NY
National Provider Identifier
1568417640
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006983-1 Issued in NY
Practice address
3018 31St St
Astoria, NY 11102-2270
Phone
(718) 254-5575
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006983-1 NY Primary

Addresses

Primary practice location

3018 31St St
Astoria, NY 11102-2270

Mailing address

519 Borden Ave
Apt 3G
Long Island City, NY 11101-5876
Phone (917) 881-1128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060207000404 NY Practitioner - Optometry 0840205282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians of Brooklyn, Inc.Group PAC ID 0749192284, 174 clinicians

Practice addresses (Care Compare)

1520 Flatbush Ave
Brooklyn, NY 11210-2450
Phone (718) 270-1714

26 Court St
Brooklyn, NY 11242-0103
Phone (718) 780-1530

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1714

Hospital & facility affiliations

  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006983-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 1, 2013 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Lighthouse International Past Accepting new patients
Mermaid Management Inc PastSince Jun 1, 2011 Accepting new patients
Jal 28 LLC Past Accepting new patients
University Physicians of Brooklyn, Inc Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Locations

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

Interoperability endpoints

  • Direct secure messaging: tmillas1054563@nychhc.direct-ci.com
  • Direct secure messaging: tmillas@uoc.direct.eyemdemr.com
  • Direct secure messaging: themistoclesmillas@sunydmc.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1568417640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BORDEN AVE",
            "address_2": "APT 3G",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015876",
            "telephone_number": "917-881-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 31ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022270",
            "telephone_number": "718-254-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAS",
        "first_name": "THEMISTOCLES",
        "middle_name": "DEMETRIOS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.