Provider Demographics
NPI:1235178989
Name:MILLS, ROBERT COLEMAN JR (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:COLEMAN
Last Name:MILLS
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:316 S MCCASKEY RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2150
Mailing Address - Country:US
Mailing Address - Phone:252-792-2250
Mailing Address - Fax:252-792-6293
Practice Address - Street 1:316 S MCCASKEY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2150
Practice Address - Country:US
Practice Address - Phone:252-792-2250
Practice Address - Fax:252-792-6293
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1337152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2251709OtherUNITED HEALTHCARE
NC561996957OtherSUPERIOR VISION SERVICES
NC561996957OtherCIGNA HEALTHCARE
NC1146990001OtherPALMETTO GBA DMERC
NC10338OtherOPTICARE NUMBER
NC246312ML2OtherMAMSI NUMBER
NC09654OtherNC BLUE CROSS BLUE SHIELD
NC77557OtherMEDCOST NUMBER
NC8909654Medicaid
NC410028618OtherRAILROAD MEDICARE
NC561996957OtherCIGNA HEALTHCARE
NC410028618OtherRAILROAD MEDICARE