Individual provider Active NPI

Charles Albert Milhoan, OD

  • Optometrist
  • Seekonk, MA
National Provider Identifier
1083311732
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5593 Issued in MA
Practice address
15 Highland Ave
Seekonk, MA 02771-5805
Phone
(508) 336-4096
NPI assigned
Feb 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MA
Optometrist 152W00000X OPT5593 MA Primary

Addresses

Primary practice location

15 Highland Ave
Seekonk, MA 02771-5805

Mailing address

15 Highland Ave
Seekonk, MA 02771-5805
Phone (508) 336-4096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230324000985 MA Practitioner - Optometry 9335513852 Reassigns benefits to 1 organization
I20260331003369 UT Practitioner - Optometry 9335513852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians

Practice addresses (Care Compare)

70 Worcester Providence Tpke
Suite 507
Millbury, MA 01527-2652
Phone (508) 865-5196

90 Water Tower PL
Leominster, MA 01453-2247
Phone (978) 248-1053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5593MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Mar 16, 2023 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Mar 16, 2023 Accepting new patients

Locations

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

15 Highland Ave
Seekonk, MA 02771
Phone (508) 336-4096

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1083311732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HIGHLAND AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715805",
            "telephone_number": "508-336-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HIGHLAND AVE",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027715805",
            "telephone_number": "508-336-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILHOAN",
        "first_name": "CHARLES",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seekonk, MA

Sources for this page

Verify at the official NPI Registry.