Organization
MILANO EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON G MILANO (PRESIDENT)
(256) 832-2252
Entity
Organization
Contact information
Practice address
125 CENTRAL AVE, SUITE D, OXFORD, AL 36203-1847
(256) 832-2252
Mailing address
125 CENTRAL AVE, SUITE D, OXFORD, AL 36203-1847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S904TA468
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009971095
—
AL
01
—
51524860
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/14/2006
Last updated
06/02/2008
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