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MICAH S. MILLS O.D. P.A.

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Company Details

Name: MICAH S. MILLS O.D. P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 12 Jan 2010 (16 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 561453
Place of Formation: IDAHO
File Number: 561453
ZIP code: 83605
County: Canyon County
Mailing Address: 1702 S KIMBALL AVE CALDWELL, ID 83605-4826

Agent

Name Role Address
MICAH S MILLS OD Agent 1702 S KIMBALL AVE, CALDWELL, ID 83605

President

Name Role Address Appointed On Resigned On
Micah Mills President 18842 WAGNER RD, CALDWELL, ID 83607 2021-02-04 2024-01-10
Micah S. Mills President 5620 SE 2ND AVE, NEW PLYMOUTH, ID 83655 2024-01-10 No data

Director

Name Role Address Appointed On
Micah S. Mills Director 5620 SE 2ND AVE, NEW PLYMOUTH, ID 83655 2024-01-10

Treasurer

Name Role Address Appointed On
Micah S. Mills Treasurer 5620 SE 2ND AVE, NEW PLYMOUTH, ID 83655 2024-01-10

Secretary

Name Role Address Appointed On
Micah S. Mills Secretary 5620 SE 2ND AVE, NEW PLYMOUTH, ID 83655 2024-01-10

Vice President

Name Role Address Appointed On
Micah S. Mills Vice President 5620 SE 2ND AVE, NEW PLYMOUTH, ID 83655 2024-01-10

National Provider Identifier

NPI Number:
1972819365

Authorized Person:

Name:
DR. MICAH S MILLS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
No
Selected Taxonomy:
152WC0802X - Corneal and Contact Management Optometrist
Is Primary:
Yes

Contacts:

Fax:
2084592895

Form 5500 Series

Employer Identification Number (EIN):
320300495
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006050085 2025-01-06
Annual Report 0005557235 2024-01-10
Annual Report 0005046526 2023-01-03
Annual Report 0004536751 2021-12-21
Annual Report 0004162822 2021-02-04

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
67400.00
Total Face Value Of Loan:
67400.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$67,400
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$67,400
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$68,066.61
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $50,550
Utilities: $8,425
Mortgage Interest: $8,425

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Date of last update: 12 Aug 2025

Sources: Idaho Secretary of State