NPIMap

Organization Active NPI

Milner & Lau Optometric Corporation

Doing business as Hercules Optometric Group

  • Optometrist
  • Hercules, CA
National Provider Identifier
1376841460
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13780 Issued in CA
Legal business name
MILNER & LAU OPTOMETRIC CORPORATION
Doing business as
Hercules Optometric Group
Practice address
1581 Sycamore Ave
Suite 10
Hercules, CA 94547-1700
Phone
(510) 799-7380
Fax
(510) 799-7734
NPI assigned
Mar 14, 2011
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Garrett Milner, O.D.NPI 1073742219
Title
President
Phone
(949) 547-6894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13780 CA Primary

Addresses

Primary practice location

1581 Sycamore Ave
Suite 10
Hercules, CA 94547-1700

Mailing address

1581 Sycamore Ave
Suite 10
Hercules, CA 94547-1700
Phone (510) 799-7380

Other names 1

  • Hercules Optometric Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1376841460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 SYCAMORE AVE",
            "address_2": "SUITE 10",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471700",
            "telephone_number": "510-799-7380",
            "fax_number": "510-799-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 SYCAMORE AVE",
            "address_2": "SUITE 10",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945471700",
            "telephone_number": "510-799-7380",
            "fax_number": "510-799-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILNER & LAU OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-547-6894",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hercules Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hercules, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.