Active NPI
Kendra S Mills, O.D.
- Optometrist
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-C86-TA-937
- Practice address
- 909 Ann St
Montgomery, AL 36107-2001 - Phone
- (334) 819-1193
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-C86-TA-937 | AL | Primary |
Addresses
Primary practice location
909 Ann St
Montgomery, AL 36107-2001
Mailing address
2820 Oxmoor Glen Drive
Birmingham, AL 35211
Phone (205) 218-9387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130429000667 | AL | Practitioner - Optometry | 2466698931 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 360Care Services of Al LLC
Practice addresses (Care Compare)
150 S Perry St
Montgomery, AL 36104-4227
Phone (248) 528-2116
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.77 of 100
- Quality
- 45.94
- Promoting interoperability
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-C86-TA-937 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care Services of Al LLC | Optometrist | Current | Accepting new patients |
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients |
Locations
150 S Perry St
Montgomery, AL 36104
Phone (225) 270-1012
523 Gandy St NE
Ste A
Russellville, AL 35653
Phone (205) 208-9955
11 Bell Rd
Selma, AL 36701
Phone (334) 874-7425
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661
Interoperability endpoints
- kendra.mills.p11@direct.360care.nextgenshare.com
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.
-
- Optician
- Montgomery, AL
- NPI 1902040488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1780945568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 OXMOOR GLEN DRIVE",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35211",
"telephone_number": "205-218-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 ANN ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361072001",
"telephone_number": "334-819-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "KENDRA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-C86-TA-937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.