Individual provider Active NPI

Cade Millikin

  • Optometrist
  • Fairfield, IA
National Provider Identifier
1720724834
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
114535 Issued in IA
Practice address
122 N Court St
Fairfield, IA 52556-2815
Phone
(641) 472-6694
NPI assigned
May 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 114535 IA Primary

Addresses

Primary practice location

122 N Court St
Fairfield, IA 52556-2815

Mailing address

703 W 6TH St
Hedrick, IA 52563-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20220701000940 IA Practitioner - Optometry 2365822772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Eye Care CenterGroup PAC ID 1254510308, 4 clinicians

Practice addresses (Care Compare)

221 N 2ND Ave
Washington, IA 52353-2203
Phone (319) 653-4558

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114535IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Eye Care Center Optometrist CurrentSince Jun 17, 2022 Accepting new patients
Washington Eye Care Center Optometrist CurrentSince Jun 17, 2022 Accepting new patients
Eyeowa Optical Company PastSince May 16, 2022 Accepting new patients

Locations

2408 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-6694

122 N Court St
Fairfield, IA 52556
Phone (641) 472-6694

221 N 2nd Ave
Washington, IA 52353
Phone (319) 653-4558

Interoperability endpoints

  • Direct secure messaging: cmillikin@axisvisioncare.direct.eyemdemr.com

Organizations & group practices 3

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1720724834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 W 6TH ST",
            "city": "HEDRICK",
            "state": "IA",
            "postal_code": "525639313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N COURT ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562815",
            "telephone_number": "641-472-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKIN",
        "first_name": "CADE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "114535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

Verify at the official NPI Registry.