Individual provider Active NPI

Coralis Dara Millien, OD

  • Optometrist
  • Sanford, FL
National Provider Identifier
1265116008
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6234 Issued in FL
Practice address
820 W Lake Mary Blvd Ste 104
Sanford, FL 32773-5946
Phone
(407) 322-2230
Fax
(407) 330-6287
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2004-950AT LA
Optometrist 152W00000X OPC6234 FL Primary

Addresses

Primary practice location

820 W Lake Mary Blvd Ste 104
Sanford, FL 32773-5946

Mailing address

820 W Lake Mary Blvd Ste 104
Sanford, FL 32773-5946
Phone (407) 322-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 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
I20230918003699 LA Practitioner - Optometry 2062876402 Reassigns benefits to 1 organization
I20240927001132 FL Practitioner - Optometry 2062876402 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brad D. Simons, MD,PHD, PA CurrentSince Oct 1, 2024 Accepting new patients
Bond Wroten Eye Clinic Optometrist CurrentSince Aug 27, 2023 Accepting new patients
Magruder Eye Institute, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

5210 Linton Blvd
Ste 104
Delray Beach, FL 33484
Phone (561) 495-1102

2141 S Highway A1A Alt
Ste 210
Jupiter, FL 33477
Phone (561) 747-3937

1911 N Mills Ave
Orlando, FL 32803
Phone (407) 893-8200

60007 W Way Dr
Amite, LA 70422
Phone (985) 748-8096

222 Veterans Blvd
Denham Springs, LA 70726
Phone (225) 791-2020

1705 S Morrison Blvd
Hammond, LA 70403
Phone (225) 523-7624

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: coralismillien@specialtyeye.direct.eyemdemr.com

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1265116008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W LAKE MARY BLVD STE 104",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735946",
            "telephone_number": "407-322-2230",
            "fax_number": "407-330-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W LAKE MARY BLVD STE 104",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735946",
            "telephone_number": "407-322-2230",
            "fax_number": "407-330-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIEN",
        "first_name": "CORALIS",
        "middle_name": "DARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2004-950AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.