Dr. Robert Dancy Millican
Optomitrist - Corneal and Contact Lenses
1626 Frederica Rd Ste101
St Simons Island
, Georgia 31522
Dr. Robert Dancy Millican
Optomitrist - Corneal and Contact Lenses
1626 Frederica Rd Ste101
St Simons Island
, Georgia 31522
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About
Features
Specialties
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Robert Dancy Millican
- 1626 Frederica Rd Ste 101
- St Simons Island, GA
- Zip : 31522
- Phone :
Second Address
- Dr. Robert Dancy Millican
- 1626 Frederica Rd Ste101
- St Simons Island, GA
- Zip : 31522
- Fax : (912) 634-5713
- Phone : (912) 634-5711
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPT1245 | GA |
National Provider Identifier
| NPI | 1205909389 |
|---|---|
| Provider Name | Dr. Robert Dancy Millican |
| First Address | St Simons Island, GA 31522 |
| Second Address | St Simons Island, GA 31522 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 09/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 511G700587 | MEDICARE PTAN# (01) | |
| U34513 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.