MILLMAN-DERR OPTICAL MACOMB LTD. NPI 1346414380

NPI Information

  • NPI: 1346414380
  • Provider Name: MILLMAN-DERR OPTICAL MACOMB, LTD.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 23D0901805
  • Address: 17900 23 MILE RD
    SUITE #100
    MACOMB, MI
    ZIP 48044
  • Phone: (586) 416-1544

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NPI Details

MILLMAN-DERR OPTICAL MACOMB, LTD. is a durable medical equipment medical supplies in Macomb, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MILLMAN-DERR OPTICAL MACOMB, LTD. NPI is 1346414380. The provider is registered as an organization entity type.

The provider's business location address is:

17900 23 MILE RD
SUITE #100
MACOMB, MI
ZIP 48044
Phone: (586) 416-1544
Fax: (586) 416-1520

The provider's authorized official is Frank Nelson Derr .
The authorized official title is President and has the following contact phone number (248) 852-3636.

The CLIA number assigned to this NPI record is 23D0901805 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/2/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16168390001MEDICARE NSCMICHIGAN

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: 11/21/2025

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