Individual provider Active NPI

Kendra S Mills, O.D.

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1780945568
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C86-TA-937 Issued in AL
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

Updated by the provider on Feb 28, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 29 clinicians

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 100Reported as group
Quality
45.94
Promoting interoperability
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C86-TA-937ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
360Care Services of Al LLC Optometrist CurrentSince May 28, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.