JERRAD SCOTT MILLS (NPI# 1104829464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104829464 |
| Entity Type | Individual |
| Full Name | JERRAD SCOTT MILLS |
| Credential | O.D. |
| Practice Address |
2009 Center St Deer Park TX 77536-4161 |
| Practice Telephone | 2814794570 |
| Practice Fax Number | 2814797895 |
| Mailing Telephone | 2814794570 |
| Mailing Fax Number | 2814797895 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6368TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0042PP | 01 |
| TX | BLUE CROSS BLUE SHIELD | 81990Q | 01 |
| Street Address |
2009 CENTER ST |
| City | DEER PARK |
| State | TX |
| Zip Code | 77536-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851416432 | Jerrad Scott Mills | Optometrist | 2009 Center St, Deer Park, TX 77536-4161 | 2007-03-20 |
| 1437268653 | Merlyn L Harger | Optometrist | 2009 Center St, Deer Park, TX 77536-4161 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053965590 | Maria Conchita Fernandez Cuadrado | Physical Therapist | 3710 Center St Suite 102 Suite 102, Deer Park, TX 77536 | 2019-08-01 |
| 1013480961 | Eclipse Massage Therapy | Radiologic Technologist | 4321 Center St., Deer Park, TX 77536 | 2019-01-03 |
| 1952752750 | Denise Evelyn Bach | Nurse Practitioner | 5900 Highway 225 East, Shell Oil Company, Deer Park, TX 77536 | 2016-06-23 |
| 1194103739 | H-e-b, Lp | Clinical Medical Laboratory | 4701 East Blvd, Deer Park, TX 77536 | 2015-05-15 |
| 1053711408 | Leo Martinez I | Specialist/Technologist, Other | 602 Bayou Vista Dr, Deer Park, TX 77536 | 2014-09-03 |
| 1942588389 | Jacquetta Monae Davis | Dentist | 9001 Spencer Hwy Suite J, Deer Park, TX 77536 | 2011-08-03 |
| 1164745550 | Cenikor Foundation | Case Management | 4525 Glenwood Avenue, Deer Park, TX 77536 | 2010-03-12 |
| 1760670079 | Julia V Douglass Meadows | Counselor | 4650 Center Street, Deer Park, TX 77536 | 2007-10-11 |
| 1912035189 | Andrew Sparks Metz | Family Medicine | 2910 Center St., Deer Park, TX 77536 | 2007-03-01 |
| 1275690620 | Jack Quentin Cash Jr. | Dentist | 302 Center Street, Deer Park, TX 77536 | 2007-01-03 |
| Find all providers in zip 77536 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1386101632 | Optical Shop of Deer Park Inc | Optometrist | 415 Commack Rd Ste 2b, Deer Park, NY 11729-4508 | 2019-02-22 |
| 1043353386 | Michelle Eva Lamb | Optometrist | 310 W San Augustine St, Deer Park, TX 77536-4028 | 2007-02-15 |
| 1699765321 | Steven Schiff | Optometrist | 1806 Deer Park Ave, Deer Park, NY 11729-4301 | 2005-10-25 |
| 1356345078 | Jeremy Kyle Marcuson | Optometrist | 26 W. H St., Stuite A, Deer Park, WA 99006 | 2005-06-10 |
| 1972160976 | Nathan James Biancardi | Optometrist | 26 W H St, Deer Park, WA 99006-7167 | 2019-05-24 |
| 1841783057 | Jvision Care Pllc | Optometrist | 310 W San Augustine St, Deer Park, TX 77536-4028 | 2018-06-12 |
| 1144736406 | Cvs Aoc Services, L.L.C. | Optometrist | 1944 Deer Park Ave, Deer Park, NY 11729-3327 | 2017-12-22 |
| 1326227075 | Steven Schiff Optometrist LLC | Optometrist | 1806 Deer Park Ave, Deer Park, NY 11729-4301 | 2007-10-30 |
| 1851416432 | Jerrad Scott Mills | Optometrist | 2009 Center St, Deer Park, TX 77536-4161 | 2007-03-20 |
| Find all providers in DEER PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.