Mills Optometric Associates, PC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

0710 Issued in TN

Legal business name

MILLS OPTOMETRIC ASSOCIATES, PC

Practice address

321 E Elk Ave
Elizabethton, TN 37643-3221

Phone

(423) 542-2512

Fax

(423) 542-0477

NPI assigned

Mar 14, 2007

Last updated

Apr 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sheri Kress

Title

Office Manager

Phone

(423) 542-2512

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David H Mills, OD

  • Vision Therapy Optometrist
  • Elizabethton, TN
  • NPI 1184614083
  Medicare reassignment Care Compare group NPD
• Zachary Pumphrey, OD

  • Optometrist
  • Elizabethton, TN
  • NPI 1013925791
  Medicare reassignment Care Compare group NPD
• Mark A Bowers

  • Optometrist
  • Blountville, TN
  • NPI 1356438915
  NPD (past)
• Patrick Daniel Shorter, O.D.

  • Optometrist
  • Dover AFB, DE
  • NPI 1962438705
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1669505939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433221",
            "telephone_number": "423-542-2512",
            "fax_number": "423-542-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433221",
            "telephone_number": "423-542-2512",
            "fax_number": "423-542-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLS OPTOMETRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "KRESS",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-542-2512"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "0710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3594342",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Meyer, M.D.
• Margaret Jane Michaud
• Angela Diane Miller, BSN, RN
• Estill L Miller, D.D.S.
• John Christopher Miller Jr., PHARMD
• David H Mills, OD
• Amy Elizabeth Miser, PTA
• Jessica Monday
• Melody Moore
• Emily Morefield, FNP-C

• Vision Therapy Optometrist in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Vision Therapy Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.

Verify at the official NPI Registry.