NPI Profile for RANDYN S MCMILLAN in CRESTVIEW, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthoptist |
156FX1900X | |||
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1124775168 |
|
| Status | Active | |
| Credentials | CO, LDO | |
| Entity | Individual | |
| Enumeration date | 03/09/2022 | |
| Last updated | 03/10/2026 - About 3 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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