MR. RANDYN SHAMAR MCMILLAN CO, LDO
NPI 1124775168
Technician/Technologist - Orthoptist in Crestview, FL

Q: What is the provider's specialty?

The provider's specialty is Technician/Technologist with taxonomy code 156FX1900X and a focus in Orthoptist.

Active since March 09, 2022

4100 S FERDON BLVD, CRESTVIEW, FL 32536(850) 204-4762 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2026, Mar 9, 2022 (2 updates tracked since 2022).

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About Mr. Randyn Shamar Mcmillan Co, Ldo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDYN SHAMAR MCMILLAN CO, LDO (NPI 1124775168) is an individual orthoptist provider in Crestview, Florida and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1124775168

Entity TypeIndividualMale

Primary Taxonomy156FX1900X

Provider Legal NameMR. RANDYN SHAMAR MCMILLANCredential: CO, LDO

Location Address4100 S FERDON BLVDCrestview, FL 32536-5252

Mailing Address4100 S Ferdon Blvd Ste C2Crestview, FL 32536-5287 · (850) 204-4762

Phone(850) 204-4762

Sole ProprietorNo

Enumeration DateMarch 9, 2022

Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1124775168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician/Technologist · OrthoptistEye and Vision Services Providers

Taxonomy Code156FX1900X

Definition

An orthoptist is an allied health professional skilled in evaluation and treatment of children and adults with eye movement difficulties. Their specialty is strabismus, amblyopia, and double vision.

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X · License LDO7360 (FL), LDO002944 (GA), DPO3507 (TN)

4100 S FERDON BLVD, Crestview, FL 32536

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