Jerrad Scott Mills

Primary specialty

OptometristTaxonomy code 152W00000X

License

6368TG Issued in TX

Legal business name

JERRAD SCOTT MILLS

Doing business as

Deer Park Vision Center

Practice address

2009 Center St
Deer Park, TX 77536-4161

Phone

(281) 479-4570

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Jeannie Thaxton

Title

Office Manager

Phone

(281) 479-4570

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Deer Park Vision Center Doing business as

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1851416432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 CENTER ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364161",
            "telephone_number": "281-479-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 CENTER ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364161",
            "telephone_number": "281-479-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRAD SCOTT MILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "THAXTON",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-479-4570"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "02082",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6368TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0042PP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104829464",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Park Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivhydration2U, LLC
• Rene Carman Jammas, M.ED
• JCM Behavioral Health (JCM Counseling)
• Hunter Christian Jensen, DMD
• Sheree Kemp Jernigan, RN, IBCLC
• Dominique T Jones, LCDC
• Sunil Joseph, PHARMACIST
• Jvision Care PLLC (JVision Care)
• Neelima J Kale, MD
• Nasser Kashani, M.D

• Optometrist in Deer Park, TX
• Providers in Deer Park, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.