Organization Active NPI

Milano Eyecare

  • Optometrist
  • Oxford, AL
National Provider Identifier
1164594230
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S904TA468 Issued in AL
Legal business name
MILANO EYECARE
Practice address
125 Central Ave
Suite D
Oxford, AL 36203-1847
Phone
(256) 832-2252
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Jon G MilanoNPI 1841262755
Title
President
Phone
(256) 832-2252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S904TA468 AL Primary

Addresses

Primary practice location

125 Central Ave
Suite D
Oxford, AL 36203-1847

Mailing address

125 Central Ave
Suite D
Oxford, AL 36203-1847

Other identifiers 2

IdentifierTypeStateIssuer
009971095MedicaidAL
51524860OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000857 AL Part B Supplier - Clinic/Group Practice 9537126487 Receives reassigned benefits from 1 practitioner
Practice locations: Oxford, AL

National Provider Directory

National Provider Directory

Locations

125 Central Ave
Ste D
Oxford, AL 36203
Phone (256) 832-2252

1020 Founders Row
Ste 109
Greensboro, GA 30642
Phone (256) 835-7785

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1164594230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031847",
            "telephone_number": "256-832-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILANO EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MILANO",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-832-2252"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S904TA468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009971095",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51524860",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.