Randyn Shamar McMillan, CO, LDO

Primary specialty

OrthoptistTaxonomy code 156FX1900X

Practice address

100 Price-Gregory Way
Crestview, FL 32536-5305

Phone

(850) 204-4762

NPI assigned

Mar 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gayla Rowland, M.D., PLLC

  • Ophthalmology Physician
  • Crestview, FL
  • NPI 1174372643
  NPD (past)
• Okaloosa Ophthalmology Pediatric & Adult Eye Care

  • Ophthalmology Physician
  • Crestview, FL
  • NPI 1831543362
  NPD (past)
• Okaloosa Ophthalmology Pediatric & Adult Eye Care

  • Ophthalmology Physician
  • Crestview, FL
  • NPI 1841119450
  NPD (past)

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1124775168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRICE-GREGORY WAY",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365305",
            "telephone_number": "850-683-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRICE-GREGORY WAY",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365305",
            "telephone_number": "850-204-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "748 Beal PKWY NW",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "32547",
            "country_code": "US",
            "telephone_number": "850-863-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "RANDYN",
        "middle_name": "SHAMAR",
        "name_prefix": "Mr.",
        "credential": "CO, LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "LDO7360",
            "primary": false
        },
        {
            "code": "156FX1900X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Orthoptist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002944",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "TN",
            "license": "DPO3507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele McIntyre, RBT
• Tamara L McKelvy, FNP
• Mackenzie McKinney
• Cory Demetris McLaughlin
• Crystal McLeod
• Hannah McNeill
• Bogan M. McQuigg, III, PA
• Sara Ann McQuillin
• Kaila Mechell
• Emma Nicole Meeks, PT, DPT

• Orthoptist in Crestview, FL
• Providers in Crestview, FL by specialty
• Orthoptist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.