John Brett Mills, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2477 Issued in AR

Practice address

3500 SE Club Blvd
Bentonville, AR 72712-5182

Phone

(479) 636-4300

NPI assigned

Mar 10, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1902104227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SE CLUB BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125182",
            "telephone_number": "479-636-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SE CLUB BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125182",
            "telephone_number": "479-636-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "JOHN",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lorraine Miller
• Julie Ann Miller, PA-C
• Robert M Miller, MD
• Ian Millerschultz, DDS
• Sean Millhouse, LPC
• Omie Mills, MD
• Valerie Mills
• Timothy Milner
• Suzanne Miltich, PH.D.
• Lauren Michelle Mincy, M.S. CCC-SLP

• Optometrist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.