Individual provider Active NPI

Bridget Anders Milliken, O.D.

  • Optometrist
  • Vidalia, LA
National Provider Identifier
1467617290
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1561 Issued in LA
Practice address
202 Advocate Row
Vidalia, LA 71373-3000
Phone
(601) 443-9876
Fax
(601) 442-4000
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1561 LA Primary
Optometrist 152W00000X 792 MS

Addresses

Primary practice location

202 Advocate Row
Vidalia, LA 71373-3000

Mailing address

239 John R Junkin Dr
Natchez, MS 39120-3821
Phone (601) 443-9876

Other practice location 1

239 John R Junkin Dr
Natchez, MS 39120-3821
Phone (601) 443-9876

Other identifiers 1

IdentifierTypeStateIssuer
1365289MedicaidLA

Other names 1

  • Bridget Anne Anders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 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
I20090520000518 MS Practitioner - Optometry 4183781347 Reassigns benefits to 1 organization
I20221021000867 LA Practitioner - Optometry 4183781347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Advocate Row
Vidalia, LA 71373-3000
Phone (601) 443-9876

239 John R Junkin Dr
Natchez, MS 39120-3821
Phone (601) 443-9876

Merit-based Incentive Payment System (MIPS)

Final score
81.27 of 100Reported as individual
Quality
62.53
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1561LAMDPsychologist
792MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milliken Eye Care, LLC Optometrist CurrentSince Dec 28, 2012 Accepting new patients

Locations

202 Advocate Row
Vidalia, LA 71373
Phone (601) 443-9876

239 John R Junkin Dr
Natchez, MS 39120
Phone (601) 443-9876

Interoperability endpoints

  • Direct secure messaging: bmilliken@millikenec.eyefinity-direct.com

Organizations & group practices 1

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1467617290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 JOHN R JUNKIN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203821",
            "telephone_number": "601-443-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ADVOCATE ROW",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733000",
            "telephone_number": "601-443-9876",
            "fax_number": "601-442-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 John R Junkin Dr",
            "address_purpose": "LOCATION",
            "city": "Natchez",
            "state": "MS",
            "postal_code": "391203821",
            "country_code": "US",
            "telephone_number": "601-443-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "BRIDGET",
        "middle_name": "ANDERS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1561",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1365289",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "ANDERS",
            "middle_name": "ANNE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vidalia, LA

Sources for this page

Verify at the official NPI Registry.