Millennium Optical, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO5933 Issued in FL

Legal business name

MILLENNIUM OPTICAL, LLC

Practice address

1545 Hand Ave
Suite B3
Ormond Beach, FL 32174-1140

Phone

(386) 677-2100

Fax

(386) 677-5374

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Patrizia Rubin

Title

Owner

Phone

(386) 677-2100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1174757371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE",
            "address_2": "SUITE B3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741140",
            "telephone_number": "386-677-2100",
            "fax_number": "386-677-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE",
            "address_2": "SUITE B3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741140",
            "telephone_number": "386-677-2100",
            "fax_number": "386-677-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "PATRIZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-677-2100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO5933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Miceli, M.D.
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• Optician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Optician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.