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

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: August 09, 2026.

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

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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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA ANN GIBSON MSN, CNM, ARNP
Advanced Practice Midwife
4100 S FERDON BLVD, SUITE A4
CRESTVIEW, FL 32536
Okaloosa County (850) 398-8940
CABANA EYES OPTICAL
Eyewear Supplier
4100 S FERDON BLVD, SUITE B5
CRESTVIEW, FL 32536
Okaloosa County (850) 758-0474
ALLISON RIVERS
Speech-Language Pathologist
4100 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
DIANA GIBBS
Physical Therapist
4100 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
CHARLES SEDILLO MATA CO
Specialist
4100 S FERDON BLVD, B-4
CRESTVIEW, FL 32536
Okaloosa County (850) 449-0380
MRS. STACY MARIE TAYLOR
Occupational Therapist
4100 S FERDON BLVD, SUITE C-1
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
PRIME THERAPY, INC
Clinic/Center
4100 S FERDON BLVD, STE A1
CRESTVIEW, FL 32536
Okaloosa County (850) 682-8388
DESIRAY LAVON GREER
Behavior Analyst
4100 S FERDON BLVD
CRESTVIEW, FL 32536
Okaloosa County (850) 362-6824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randyn Mcmillan's NPI number?

The NPI number for Randyn Mcmillan is 1124775168. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Randyn Mcmillan located?

Randyn Mcmillan practices at 4100 S Ferdon Blvd, Crestview, FL 32536. The listed phone number is (850) 204-4762.

What is Randyn Mcmillan's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Orthoptist, with taxonomy code 156FX1900X.

When was this NPI record last updated?

The NPPES record for Randyn Mcmillan was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.