Individual provider Active NPI

Steven C Milleson, O.D.

  • Optometrist
  • Ironton, OH
National Provider Identifier
1720064371
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3258/T724 Issued in OH
Practice address
220 S 6TH St
Ironton, OH 45638-1623
Phone
(740) 532-2020
Fax
(740) 532-0176
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3258/T724 OH Primary

Addresses

Primary practice location

220 S 6TH St
Ironton, OH 45638-1623

Mailing address

220 S 6TH St
P.O. Box 643
Ironton, OH 45638-1623
Phone (740) 532-2020

Other identifiers 2

IdentifierTypeStateIssuer
3258/T724OtherOHSTATE LICENSE NUMBER
0447878MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110224001005 OH Practitioner - Optometry 9234162546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3258OHMDChiropractor
3258/T724OHMDOptometrist

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1720064371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 6TH ST",
            "address_2": "P.O. BOX 643",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381623",
            "telephone_number": "740-532-2020",
            "fax_number": "740-532-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 6TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381623",
            "telephone_number": "740-532-2020",
            "fax_number": "740-532-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLESON",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3258/T724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "3258/T724",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447878",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.