DR. ROBERT DANCY MILLICAN (NPI# 1205909389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205909389 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DANCY MILLICAN |
| Credential | OD |
| Practice Address |
1626 Frederica Rd Ste101 St Simons Island GA 31522 |
| Mailing Address |
1626 Frederica Rd Ste 101 St Simons Island GA 31522 |
| Practice Telephone | 9126345711 |
| Practice Fax Number | 9126345713 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPT1245 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN# | 511G700587 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396786463 | Robert J Millican | Internal Medicine | 2311 Woodbridge Ct, Suite 303, Plover, WI 54467 | 2006-06-09 |
| Street Address |
1626 FREDERICA RD STE101 |
| City | ST SIMONS ISLAND |
| State | GA |
| Zip Code | 31522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912019084 | Brenda B Hollis | Counselor | 1626 Frederica Rd, Suite 203, St Simons Island, GA 31522-2529 | 2006-08-31 |
| 1407058175 | Brenda B Hollis, Lpc, PC | Counselor | 1626 Frederica Rd, Suite 203, St Simons Island, GA 31522-2529 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186342 | Matthew Mackinnon Gibbs | Specialist/Technologist | 211 Village Dr, St Simons Is, GA 31522 | 2018-09-02 |
| 1770957433 | Jennifer Herrin, Lpc | Community/Behavioral Health | 400 Main Street, Cottage 1, Saint Simons Island, GA 31522 | 2015-11-18 |
| 1508113002 | Ashley Neal Callicutt | Counselor | 301 Sea Island Road, Suite G, St. Simons Island, GA 31522 | 2012-08-14 |
| 1235414103 | Dana D'andrea Duggan | Psychologist | 283 Redfern Village, St. Simons Island, GA 31522 | 2011-10-11 |
| 1528394848 | Nancy Hodges Bowen | Nurse Practitioner | 7000 Wellness Way, Suite 130, St. Simons Island, GA 31522 | 2009-10-21 |
| 1073763215 | John Arthur Hendry | Dentist | 511 Mallery Street, St. Simons Island, GA 31522 | 2008-09-24 |
| 1770775116 | Randolph M. Stevens | Dentist | Coastal Endodontic Associates, 1804 Frederica Rd., Ste B, St. Simons Island, GA 31522 | 2007-08-09 |
| 1689797383 | Angela C Barnard | Nurse Practitioner | 798 Mallery St Apt 2, Saint Simons Island, GA 31522 | 2007-04-09 |
| 1053493486 | Larry D. Daugherty | Dentist | 124 Island Professional Park, St Simons Island, GA 31522 | 2006-10-19 |
| 1134239460 | Joe Neil Garner | Dentist | 288 Redfern Village, St Simons Island, GA 31522 | 2006-08-30 |
| Find all providers in zip 31522 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791076 | Shipley & Wayland Eyecare LLC | Optometrist | 7768 Cumming Hwy Ste 500, Canton, GA 30115-2984 | 2019-10-15 |
| 1023463528 | Eminence Family Eyecare, LLC | Optometrist | 6300 Atlanta Hwy # 9, Suite 101a, Alpharetta, GA 30004-7821 | 2016-05-03 |
| 1689066284 | Dr James L Purvis, LLC | Optometrist | 7104 Waterstone Pl, Buford, GA 30518-5125 | 2015-02-19 |
| 1679878524 | Optique At Brookhaven, LLC | Optometrist | 305 Brookhaven Ave, Sw 1110, Atlanta, GA 30319-4316 | 2011-01-24 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| 1952617300 | Sima Dori | Optometrist | 2204 Cherring Ln, Dunwoody, GA 30338-5229 | 2010-08-24 |
| 1720217771 | Advanced Eye Associates LLC | Optometrist | 2645 Dallas Hwy Sw, Suite 100, Marietta, GA 30064-2541 | 2009-07-13 |
| 1750541355 | Mcarthur Griffin | Optometrist | 1700 Mount Zion Rd, Morrow, GA 30260-3014 | 2008-06-17 |
| 1942428362 | Farhad Kapadia | Optometrist | 2994 Turner Hill Rd, Lithonia, GA 30038-2526 | 2007-04-23 |
| 1225161185 | Robert Joseph Barnes | Optometrist | 650 Ponce De Leon Ave Ne, Suite 630a, Atlanta, GA 30308-1804 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
| City | ST SIMONS ISLAND |
| Zip Code | 31522 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.