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Organization

MILLS EYE INSTITUTE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW B. MILLS M.D. (OWNER)
(775) 322-1000
Entity
Organization

Contact information

Practice address
600 ASH ST, SUSANVILLE, CA 96130-3714
(775) 322-1000
(775) 322-1050
Mailing address
10685 PROFESSIONAL CIR STE A, RENO, NV 89521-5843
(775) 322-1000
(775) 322-1050

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
AO699360
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A699360
CA
01
CA165174
PTAN
CA
Enumeration date
07/20/2015
Last updated
10/15/2015
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