Active NPI
Patrick Milburn, O.D.
- Optometrist
- Palmdale, CA
National Provider Identifier
1679648091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT09914T
- Practice address
- 37140 47TH St E
Palmdale, CA 93552-4450 - Phone
- (661) 533-9689
- Fax
- (661) 533-9689
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT09914T | CA | Primary |
Addresses
Primary practice location
37140 47TH St E
Palmdale, CA 93552-4450
Mailing address
6046 Devonshire Dr
Palmdale, CA 93551-1637
Phone (661) 533-9689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT09914T | Other | CA | OPTOMETRY LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT09914T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1679648091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6046 DEVONSHIRE DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511637",
"telephone_number": "661-533-9689",
"fax_number": "661-533-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37140 47TH ST E",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935524450",
"telephone_number": "661-533-9689",
"fax_number": "661-533-9689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBURN",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT09914T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE NUMBER",
"identifier": "OPT09914T",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.