Organization
DON EDWARD MILLS JR OD PA
Active
Other names
Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA W BENNETT (OFFICE MANAGER)
(704) 664-9121
Entity
Organization
Contact information
Practice address
492 WILLIAMSON RD, MOORESVILLE, NC 28117-9185
(704) 664-9121
(704) 664-4886
Mailing address
492 WILLIAMSON RD, MOORESVILLE, NC 28117-9185
(704) 664-9121
(704) 664-4886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019MM
BLUE CROSS BLUE SHIELD
NC
01
—
DQ3416
RAILROAD MEDICARE
NC
Enumeration date
03/29/2007
Last updated
08/03/2010
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