Organization Active NPI

Inlet Optometric Eycare, Inc.

  • Optometrist
  • Myrtle Beach, SC
National Provider Identifier
1972717940
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1324 Issued in SC
Legal business name
INLET OPTOMETRIC EYCARE, INC.
Doing business as
Mills Vision Care, Inc
Practice address
3013 Newcastle Loop
Myrtle Beach, SC 29588-4502
Phone
(843) 215-3000
Fax
(843) 215-5310
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Dr. John Michael Mills, O.D.NPI 1730149964
Title
Optometrist
Phone
(843) 215-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1324 SC Primary

Addresses

Primary practice location

3013 Newcastle Loop
Myrtle Beach, SC 29588-4502

Mailing address

4343 Cross Cut TRL
Myrtle Beach, SC 29579-6904
Phone (843) 215-5300

Other names 1

  • Mills Vision Care, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071116000147 SC Part B Supplier - Clinic/Group Practice 9739277203 Receives reassigned benefits from 2 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

3013 Newcastle Loop
Myrtle Beach, SC 29588
Phone (843) 215-3000

8703 Highway 17 Byp S
Ste B
Surfside Beach, SC 29575

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1972717940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 CROSS CUT TRL",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796904",
            "telephone_number": "843-215-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 NEWCASTLE LOOP",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884502",
            "telephone_number": "843-215-3000",
            "fax_number": "843-215-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLET OPTOMETRIC EYCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-06-12",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "843-215-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mills Vision Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mills Vision Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.