Provider Type Icon

MICAH S MILLS OD PA NPI 1972819365


NPI Information

NPI: 1972819365
Provider Name: MICAH S MILLS OD PA

Doing Business As: TREASURE VALLEY EYECARE

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

CLIA Number: 13D2067459

Address:
1702 S KIMBALL AVE
CALDWELL, ID
ZIP 83605
Phone: (208) 459-2641
Get Directions

MICAH S MILLS OD PA is a corneal and contact management optometrist in Caldwell, ID. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. MICAH S MILLS OD PA NPI is 1972819365. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Treasure Valley Eyecare.

The provider's business location address is:

1702 S KIMBALL AVE
CALDWELL, ID
ZIP 83605-826
Phone: (208) 459-2641
Fax: (208) 459-2895

The provider's authorized official is Micah S Mills .
The authorized official title is Owner and has the following contact phone number (208) 459-2641.

The CLIA number assigned to this NPI record is 13D2067459 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 2/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2152WC0802XOptometristCorneal and Contact ManagementYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DQ8178OTHERIDAHORAILROAD MEDICARE
215900302MEDICARE PINIDAHO
31972819365MEDICAIDIDAHO
46481060001MEDICARE NSCIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.