Robert D Millican OD PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPT0245 Issued in GA

Legal business name

ROBERT D MILLICAN OD PC

Practice address

1626 Frederica Rd Ste 101
St Simons Island, GA 31522-2525

Phone

(912) 634-5711

Fax

(912) 634-5713

NPI assigned

Jun 26, 2008

Last updated

Sep 25, 2012By 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

Dr. Robert D Millican, O.D.NPI 1205909389

Title

Optometrist

Phone

(912) 554-2007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Robert Dancy Millican, OD

  • Corneal and Contact Management Optometrist
  • St Simons Island, GA
  • NPI 1205909389
  Medicare reassignment Care Compare group NPD Authorized official
• Seema Bhula, O.D.

  • Optometrist
  • Brunswick, GA
  • NPI 1376741538
  Medicare reassignment Care Compare group NPD
• Richard Howell Harrison, O.D.

  • Optometrist
  • Moses Lake, WA
  • NPI 1700805561
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1730341132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 FREDERICA RD STE 101",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222525",
            "telephone_number": "912-634-5711",
            "fax_number": "912-634-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 FREDERICA RD STE 101",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222525",
            "telephone_number": "912-634-5711",
            "fax_number": "912-634-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D MILLICAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "MILLICAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "912-554-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "OPT0245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lee Ralston, DPT
• Aubrie Lynn Reedy
• Barbara Kast Reighard, D.D.S.
• Nancy Vance Richardson, CCC-SLP
• Allyn D Robb Jr., LPC
• Celia Robertson, RN, IBCLC
• Nancy Roddy Nurnberg, PT
• RST Advancement Florida LLC (Topp Spine and Orthopaedics)
• RST Advancement, LLC
• Saint Acupuncture and Wellness

• Eyewear Supplier in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.