Individual provider Active NPI

Jon G Milano, O.D.

  • Optometrist
  • Oxford, AL
National Provider Identifier
1841262755
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S904TA468 Issued in AL
Practice address
125 Central Ave
Suite D
Oxford, AL 36203-1847
Phone
(256) 832-2252
Fax
(256) 832-2254
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S904TA468 AL Primary
Optometrist 152W00000X GAOPT-001696 GA

Addresses

Primary practice location

125 Central Ave
Suite D
Oxford, AL 36203-1847

Mailing address

125 Central Ave
Suite D
Oxford, AL 36203-1847

Other identifiers 2

IdentifierTypeStateIssuer
009971095MedicaidAL
51524860OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20041213000899 AL Practitioner - Optometry 6709843667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 Central Ave
Suite D
Oxford, AL 36203-1844
Phone (256) 832-2252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S904TA468ALMDOptometrist
GAOPT-001696GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milano Eyecare Optometrist CurrentSince Nov 1, 2004 Accepting new patients

Locations

125 Central Ave
Ste D
Oxford, AL 36203
Phone (256) 832-2252

1020 Founders Row
Ste 109
Greensboro, GA 30642
Phone (256) 835-7785

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1841262755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031847",
            "telephone_number": "256-832-2252",
            "fax_number": "256-832-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANO",
        "first_name": "JON",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S904TA468",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GAOPT-001696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009971095",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51524860",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.