Micah S Mills Od PA

NPI #1972819365 in Caldwell, Idaho

Provider Information

NPI Number: 1972819365
Entity Type: Organization
Organization Name: Micah S Mills Od PA
Primary Specialty: Optometrist - Corneal and Contact Management
Enumeration Date: Aug 24, 2010
Last Updated: Feb 24, 2011

Practice Location

Address: 1702 S KIMBALL AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4826
Phone: (208) 459-2641

Authorized Official

Name: DR. MICAH S MILLS, OD
Title: OWNER
Phone: (208) 459-2641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X	Primary

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