Milton Eyecare Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MILTON EYECARE CENTER, LLC

Practice address

101 Milton Way
Milton, WA 98354-8800

Phone

(253) 922-0333

NPI assigned

Sep 13, 2019

Last updated

Sep 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susanna Gould

Title

Office Manager

Phone

(360) 692-6115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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.

• Jason Walston, OD

  • Optometrist
  • Hendersonville, TN
  • NPI 1750684122

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1679123442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MILTON WAY",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983548800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILTON WAY",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983548800",
            "telephone_number": "253-922-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON EYECARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-692-6115"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad McKnight
• Amy Battle McMillan, CCC-SLP
• Hellen Migwi, ARNP
• Jessica Miller, PTA
• Raymond Miller
• Milton-Edgewood Eye Clinic, PLLC
• Sophonnice Mique
• Joseph Montero
• Terry Morehead
• Michael J Morgan, D.O.

• Optometrist in Milton, WA
• Providers in Milton, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.