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NPI 1124775168

IndividualActive

Randyn Mcmillan, CO, LDO

NPI 1124775168 · Orthoptist · Crestview, FL

Provider details

NPI number: 1124775168
Entity type: Individual
Primary specialty: OrthoptistEye and Vision Services Providers
Credential: CO, LDO
Sex: Male
Sole proprietor: No
License: LDO7360 (FL)

Practice location

4100 S Ferdon Blvd

Crestview, FL 32536-5252

Phone: (850) 204-4762

More FL providers

Mailing address

4100 S Ferdon Blvd Ste C2

Crestview, FL 32536-5287

Registry dates

Enumerated: 2022-03-09
Last updated: 2026-03-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Randyn Mcmillan, CO, LDO — NPI 1124775168, Crestview, FL | NPI Central