MILLIGAN OPTICAL (GROUP W-A, INC) NPI 1124263629

Eyewear Supplier in Largo, FL

NPI 1124263629 Organization Eyewear Supplier Medicare Supplier Accepts Medicare Approved Payment

About MILLIGAN OPTICAL (GROUP W-A, INC)

Milligan Optical (group W-a, Inc) is a provider established in Largo, Florida specializing in eyewear supplier. The NPI number of Milligan Optical (group W-a, Inc) is 1124263629 and was assigned on December 2008. The practitioner's primary taxonomy code is 332H00000X with license number OE 1526 (FL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Milligan Optical. The authorized official of this NPI record is Dr. John Baptist Wachter Jr. O.d. (Vice President)

Milligan Optical is a medicare supplier with PTAN 6207540001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.

NPI

1124263629

Provider NameMILLIGAN OPTICAL (GROUP W-A, INC)
Provider Location Address6585 126TH AVE STE D1 LARGO, FL 33773
Provider Mailing Address6585 126TH AVE STE D1 LARGO, FL 33773
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMILLIGAN OPTICAL
Other Name TypeDoing Business As (3)
Enumeration Date12-11-2008
Last Update Date05-07-2014


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
TypeSuppliers
License No.OE 1526
License StateFL
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Business Address

MILLIGAN OPTICAL
6585 126TH AVE
STE D1
LARGO, FL
ZIP 33773
Phone: (727) 546-7220
Fax: (727) 546-6641

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Mailing Address

MILLIGAN OPTICAL
6585 126TH AVE
STE D1
LARGO, FL
ZIP 33773
Phone: (727) 546-7220
Fax: (727) 546-6641



Authorized Official

Authorized Official NameDR. JOHN BAPTIST WACHTER JR. O.D.
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(727) 644-5824

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN6207540001
Accepts Medicare AssignmentYES
Specialities ListOptician.
Supplies List
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
Competitive BiddingNO

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.