Active NPI
David John Millikan, O.D.
- Optometrist
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002831A
- Practice address
- 1921 E 53Rd St
Anderson, IN 46013-3164 - Phone
- (765) 649-2278
- Fax
- (765) 622-7171
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002831A | IN | Primary |
Addresses
Primary practice location
1921 E 53Rd St
Anderson, IN 46013-3164
Mailing address
9795 Crosspoint Blvd
Ste 100
Indianapolis, IN 46256-3354
Phone (317) 254-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200151240 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1921 E 53Rd St
Anderson, IN 46013-3164
Phone (765) 649-2278
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
Locations
1921 E 53rd St
Anderson, IN 46013
Phone (765) 649-2278
14555 Hazel Dell Pkwy
Ste 120
Carmel, IN 46033
Phone (317) 706-2020
13080 Grand Blvd
Ste 110
Carmel, IN 46032
Phone (317) 575-1133
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
804 Broad Ripple Ave
Indianapolis, IN 46220
Phone (317) 257-5421
1501 W Oak St
Ste 100
Zionsville, IN 46077
Phone (317) 873-4020
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
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.
-
- Optometrist
- Munster, IN
- NPI 1922974526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1144240706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9795 CROSSPOINT BLVD",
"address_2": "STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462563354",
"telephone_number": "317-254-6480",
"fax_number": "317-259-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 E 53RD ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460133164",
"telephone_number": "765-649-2278",
"fax_number": "765-622-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLIKAN",
"first_name": "DAVID",
"middle_name": "JOHN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002831A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200151240",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.