Adam S Millis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-001677 Issued in PA

Practice address

352 Gribbel Rd
Wyncote, PA 19095-1108

Phone

(215) 206-8526

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in PA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jeffrey L. Morer, OD, PC

  dba HealthDrive Eye Care Group

  • Optometrist
  • Newtown, PA
  • NPI 1083642581
  Medicare reassignment Care Compare group NPD
• Millis Mobile Eye Care, LLC

  • Optometrist
  • Wyncote, PA
  • NPI 1013592799
  NPD Authorized official
• Jeffrey L. Morer, OD, PC

  dba HealthDrive Eye Care Group

  • Optometrist
  • Dublin, OH
  • NPI 1477589687
  NPD

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1972566990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 GLENSIDE AVE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951220",
            "telephone_number": "215-887-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 GRIBBEL RD",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951108",
            "telephone_number": "215-206-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIS",
        "first_name": "ADAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-001677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Mecleary
• Louise R Merves-Okin, PH.D.
• MHP Cheltenham LLC (AFC Urgent Care)
• Millis Eye Associates, LLC
• Millis Mobile Eye Care, LLC
• Barry G Millis, OD
• Mindful-Well, CDC
• Sonny Misa, OTD
• Nashwa Mohamed, RPH
• Amanda Marie Montgomery, COTA/L

• Optometrist in Wyncote, PA
• Providers in Wyncote, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.