MACMILLAN OPTICAL INC NPI 1588615488

NPI Information

  • NPI: 1588615488
  • Provider Name: MACMILLAN OPTICAL, INC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 118 MUSGROVE ST
    CLINTON, SC
    ZIP 29325
  • Phone: (864) 833-5555

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NPI Details

MACMILLAN OPTICAL, INC is a preferred provider organization in Clinton, SC. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MACMILLAN OPTICAL, INC NPI is 1588615488. The provider is registered as an organization entity type.

The provider's business location address is:

118 MUSGROVE ST
CLINTON, SC
ZIP 29325-350
Phone: (864) 833-5555
Fax: (864) 833-5520

The provider's authorized official is Thomas F Macmillan .
The authorized official title is Owner and has the following contact phone number (864) 833-5555.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 8/5/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization0991SOUTH CAROLINAYes

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
1U435988525MEDICARE UPINSOUTH CAROLINA
25595510001MEDICARE NSCSOUTH CAROLINA
3DA9677MEDICAIDSOUTH CAROLINA
48525MEDICARE PINSOUTH CAROLINA

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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