Michael Millsap, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1365 Issued in CO

Legal business name

MICHAEL MILLSAP, OD, LLC

Practice address

8250 Razorback Rd
Colorado Springs, CO 80920-3950

Phone

(719) 260-8230

Fax

(719) 260-1235

NPI assigned

Apr 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Millsap, OD

Title

Manager

Phone

(719) 260-8230

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1003050451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62026",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809622026",
            "telephone_number": "719-260-8230",
            "fax_number": "719-260-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 RAZORBACK RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203950",
            "telephone_number": "719-260-8230",
            "fax_number": "719-260-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MILLSAP, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLSAP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "719-260-8230",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841440690",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Oneill MD PLLC
• Michael J. Gehrke M.D.
• Michael J. Vallejo
• Michael J. Wempe, M.D., S.C.
• Michael Kunkel DDS Professional LLC
• Michael Moats, PSYD, Inc.
• Michael R Baker MD PC
• Michael W Beasley DDS PC
• Erin Michael, BCBA
• Haley Michael

• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.