Individual
JON G MILANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
125 CENTRAL AVE, SUITE D, OXFORD, AL 36203-1847
(256) 832-2252
(256) 832-2254
Mailing address
125 CENTRAL AVE, SUITE D, OXFORD, AL 36203-1847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
GAOPT-001696
GA
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
02/03/2006
Last updated
01/03/2008
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