Organization Active NPI

Millman-Derr Optical Macomb, LTD.

  • Durable Medical Equipment & Medical Supplies
  • Macomb, MI
National Provider Identifier
1346414380
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MILLMAN-DERR OPTICAL MACOMB, LTD.
Practice address
17900 23 Mile Rd
Suite #100
Macomb, MI 48044
Phone
(586) 416-1544
Fax
(586) 416-1520
NPI assigned
Apr 22, 2008
Last updated
Apr 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Authorized official

Name
Dr. Frank Nelson Derr, M.D.
Title
President
Phone
(248) 852-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

17900 23 Mile Rd
Suite #100
Macomb, MI 48044

Mailing address

375 Barclay Cir
Rochester Hills, MI 48307-4511
Phone (248) 852-3636

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1346414380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074511",
            "telephone_number": "248-852-3636",
            "fax_number": "248-852-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 23 MILE RD",
            "address_2": "SUITE #100",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "586-416-1544",
            "fax_number": "586-416-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLMAN-DERR OPTICAL MACOMB, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-852-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.