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FRED L MCMILLAN MD PLLC NPI 1427230168


NPI Information

NPI: 1427230168
Provider Name: FRED L MCMILLAN, MD, PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1421 N STATE ST
SUITE 503
JACKSON, MS
ZIP 39202
Phone: (601) 948-6886
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FRED L MCMILLAN, MD, PLLC is an ophthalmology in Jackson, MS. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. FRED L MCMILLAN, MD, PLLC NPI is 1427230168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1421 N STATE ST
SUITE 503
JACKSON, MS
ZIP 39202-658
Phone: (601) 948-6886
Fax: (601) 948-7044

The provider's authorized official is Fred L Mcmillan .
The authorized official title is Owner and has the following contact phone number (601) 948-6886.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 4/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology05468MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109015679MEDICAIDMISSISSIPPI
2B90074MEDICARE UPINMISSISSIPPI
3180000137MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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