NPIMap

Organization Active NPI

Millard Vision Center

  • Eyewear Supplier
  • Omaha, NE
National Provider Identifier
1891926945
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1022 Issued in NE
Legal business name
MILLARD VISION CENTER
Practice address
15340 Weir St
Omaha, NE 68137-5005
Phone
(402) 932-9222
NPI assigned
Aug 6, 2009
Last updated
Nov 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Michelle A Till, OD
Title
President
Phone
(402) 932-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1022 NE Primary

Addresses

Primary practice location

15340 Weir St
Omaha, NE 68137-5005

Mailing address

16123 Drexel Cir
Omaha, NE 68135-5370
Phone (402) 203-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091111000607 NE Part B Supplier - Clinic/Group Practice 5294873279 Receives reassigned benefits from 4 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1891926945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16123 DREXEL CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681355370",
            "telephone_number": "402-203-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 WEIR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681375005",
            "telephone_number": "402-932-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLARD VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "TILL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-932-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NE",
            "license": "1022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.