Individual
NICOLE M. MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., FAAO
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2764
TN
152WL0500X
Low Vision Rehabilitation Optometrist
5020
MA
152WL0500X
Low Vision Rehabilitation Optometrist
777
MS
152WL0500X
Low Vision Rehabilitation Optometrist
R-171-TA-795
AL
Other
Enumeration date
08/01/2007
Last updated
07/21/2022
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