Active NPI
Brannon Mills, O.D.
- Optometrist
- Anchorage, AK
National Provider Identifier
1689795304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 243
- Practice address
- 1000 E Northern Lights Blvd
Anchorage, AK 99508-4218 - Phone
- (907) 279-8651
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 243 | AK | Primary |
| Optometrist | 152W00000X | 3144ATI | OR |
Addresses
Primary practice location
1000 E Northern Lights Blvd
Anchorage, AK 99508-4218
Mailing address
10751 Edgewood Circle
Eagle River, AK 99577
Phone (907) 622-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4169 Geist Rd
Fairbanks, AK 99709-3420
Phone (907) 457-8227
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3144ATI | OR | MD | Optometrist |
| 243 | AK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Valley Vision Center, Inc | Optometrist | Current | Accepting new patients |
| Total Vision PA | Optometrist | Past | Accepting new patients |
Locations
4169 Geist Rd
Fairbanks, AK 99709
Phone (907) 457-8227
Organizations & group practices 2
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.
-
- Optometrist
- Fairbanks, AK
- NPI 1235354515
-
- Corneal and Contact Management Optometrist
- Caldwell, ID
- NPI 1447328463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689795304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10751 EDGEWOOD CIRCLE",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "99577",
"telephone_number": "907-622-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E NORTHERN LIGHTS BLVD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084218",
"telephone_number": "907-279-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "BRANNON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AK",
"license": "243",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3144ATI",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.