MILLIGAN OPTICAL (GROUP W-A, INC) NPI 1124263629
Eyewear Supplier in Largo, FL
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 Name | MILLIGAN OPTICAL (GROUP W-A, INC) |
| Provider Location Address | 6585 126TH AVE STE D1 LARGO, FL 33773 |
| Provider Mailing Address | 6585 126TH AVE STE D1 LARGO, FL 33773 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | MILLIGAN OPTICAL |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 12-11-2008 |
| Last Update Date | 05-07-2014 |
Primary Taxonomy
| Taxonomy Code | 332H00000X |
| Classification | Eyewear Supplier |
| Type | Suppliers |
| License No. | OE 1526 |
| License State | FL |
| Taxonomy Description | An 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
Mailing Address
MILLIGAN OPTICAL
6585 126TH AVE
STE D1
LARGO, FL
ZIP 33773
Phone: (727) 546-7220
Fax: (727) 546-6641
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
| PTAN | 6207540001 |
| Accepts Medicare Assignment | YES |
| Specialities List | Optician. |
| Supplies List |
|
| Competitive Bidding | NO |
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.