Individual provider Active NPI

John Michael Mills, O.D.

  • Optometrist
  • Myrtle Beach, SC
National Provider Identifier
1730149964
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1324 Issued in SC
Practice address
3013 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone
(843) 215-3000
Fax
(843) 215-5310
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1324 SC Primary

Addresses

Primary practice location

3013 Newcastle Loop
Myrtle Beach, SC 29588-4502

Mailing address

4343 Cross Cut TRL
Myrtle Beach, SC 29579-6904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20071116000137 SC Practitioner - Optometry 1658469127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inlet Optometric Eycare, Inc.Group PAC ID 9739277203, 2 clinicians

Practice addresses (Care Compare)

3013 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone (843) 215-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1324SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inlet Optometric Eycare, Inc. Optometrist CurrentSince Oct 29, 2007 Accepting new patients

Locations

3013 Newcastle Loop
Myrtle Beach, SC 29588
Phone (843) 215-3000

8703 Highway 17 Byp S
Ste B
Surfside Beach, SC 29575

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1730149964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 CROSS CUT TRL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-3000",
            "fax_number": "843-215-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-06-12",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.