Individual
DAVID H MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
321 E ELK AVE, ELIZABETHTON, TN 37643-3221
(423) 542-2512
(423) 542-0477
Mailing address
321 E ELK AVE, ELIZABETHTON, TN 37643-3221
(423) 542-2512
(423) 542-0477
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
0710
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124024
BLUECROSSBLUESHIELD OF TN
TN
01
—
1669505939
WPS TRICARE
—
05
—
3945609
—
TN
05
—
7909631
—
NC
01
—
P00914229
MEDICARE RAILROAD
TN
Enumeration date
10/24/2005
Last updated
02/08/2012
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