Individual provider Active NPI

Kurt William Mills, O.D.

  • Optometrist
  • Kirkland, WA
National Provider Identifier
1962918227
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60812167 Issued in WA
Practice address
11901 NE Village PLZ Ste 169
Kirkland, WA 98034-5092
Phone
(425) 602-6153
Fax
(206) 641-7126
NPI assigned
Dec 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60812167 WA Primary

Addresses

Primary practice location

11901 NE Village PLZ Ste 169
Kirkland, WA 98034-5092

Mailing address

11901 NE Village PLZ Ste 169
Kirkland, WA 98034-5092
Phone (425) 602-6153

Other practice location 1

401 NE Northgate Way, Suite 1101
Seattle, WA 98125
Phone (206) 364-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250610001944 WA Practitioner - Optometry 4183134075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Stephen Nevett and Associates PCGroup PAC ID 0648468975, 10 clinicians

Practice addresses (Care Compare)

401 NE Northgate Way
SPC 1101
Seattle, WA 98125-8538
Phone (206) 364-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60812167WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Stephen Nevett and Associates, P.C. Optometrist CurrentSince Jun 1, 2025 Accepting new patients
National Vision, Inc. PastSince Jan 10, 2021 Accepting new patients
Luxottica of America Inc PastSince Jun 1, 2025 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

11901 NE Village Plz
Ste 169
Kirkland, WA 98034
Phone (425) 602-6152

401 NE Northgate Way
Spc 1101
Seattle, WA 98125
Phone (206) 364-1668

Organizations & group practices 4

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": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1962918227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 NE VILLAGE PLZ STE 169",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345092",
            "telephone_number": "425-602-6153",
            "fax_number": "206-641-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 NE VILLAGE PLZ STE 169",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345092",
            "telephone_number": "425-602-6153",
            "fax_number": "206-641-7126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 NE Northgate Way, Suite 1101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98125",
            "country_code": "US",
            "telephone_number": "206-364-2273",
            "fax_number": "206-641-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "KURT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60812167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.