Active NPI
Milliken Eye Care, LLC
- Optometrist
- Vidalia, LA
National Provider Identifier
1952651523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 792
- Legal business name
- MILLIKEN EYE CARE, LLC
- Doing business as
- Miss Lou Eye Care
- Practice address
- 202 Advocate Row
Vidalia, LA 71373-3000 - Phone
- (601) 443-9876
- Fax
- (601) 442-4000
- NPI assigned
- Sep 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Anders
- Title
- Manager
- Phone
- (601) 443-9876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 792 | MS | Primary |
Addresses
Primary practice location
202 Advocate Row
Vidalia, LA 71373-3000
Mailing address
202 Advocate Row
Vidalia, LA 71373-3000
Phone (601) 443-9876
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005352884 | Medicaid | MS | |
| 09825097 | Medicaid | MS |
Other names 1
- Miss Lou Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
Enrollment records 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2083284 | Miss-Lou Eye Care | Certificate of waiver | Sep 1, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Milliken Eye Care LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
202 Advocate Row
Vidalia, LA 71373
Phone (601) 443-9876
Interoperability endpoints
- bmilliken@millikenec.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Ferriday, LA
- NPI 1235212457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1952651523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 ADVOCATE ROW",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713733000",
"telephone_number": "601-443-9876",
"fax_number": "601-442-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 ADVOCATE ROW",
"city": "VIDALIA",
"state": "LA",
"postal_code": "713733000",
"telephone_number": "601-443-9876",
"fax_number": "601-442-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLIKEN EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-11",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "ANDERS",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "601-443-9876",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005352884",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09825097",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Miss Lou Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vidalia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.