Dr Michael L Mills PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

639 Issued in SC

Legal business name

DR MICHAEL L MILLS PA

Practice address

3420 Broad St
Loris, SC 29569-3002

Phone

(843) 756-6919

Fax

(843) 756-6900

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara G Mills

Title

Office Manager Owner

Phone

(843) 756-6919

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul D Simmons, O.D.

  • Optometrist
  • Strongsville, OH
  • NPI 1669413217
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1790701159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295690797",
            "telephone_number": "843-756-6919",
            "fax_number": "843-756-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BROAD ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693002",
            "telephone_number": "843-756-6919",
            "fax_number": "843-756-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL L MILLS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER OWNER",
        "authorized_official_telephone_number": "843-756-6919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9706",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Day Brace & Limb, Inc.
• Amanda Diaz, MIDWIFE
• April Dietz, DMD
• Debra Ann Dixon, RPH
• Dr Gwyn Gordon McCutchen Inc
• DS Dental LLC
• DS Dental, LLC
• Joshua Duffy, D.M.D., M.S.
• Carmen Esper, CRNA
• Evolve 365 LLC

• All providers in Loris, SC
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.