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Active NPI 1124775168 Individual Practitioner Male Practitioner

Randyn Shamar Mcmillan , CO, LDO

Technician/Technologist - Orthoptist • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Randyn Mcmillan, CO, LDO is a registered healthcare professional specializing in Technician/Technologist - Orthoptist in Crestview, FL. Practice services are available at 4100 S FERDON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 S Ferdon Blvd

Crestview, FL 325365252

Telephone 8502044762
Associated Practice Facility / Clinic
🏢 Prime Therapy, Inc Facility NPI 1316996713

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Orthoptist in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Crestview, FL (4 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-10
Technician/Technologist - Orthoptist Primary Specialty

NUCC Taxonomy Code: 156FX1900X

An orthoptist is an allied health professional skilled in evaluation and treatment of children and adults with eye movement difficulties. Their specialty is strabismus, amblyopia, and double vision.

Technician/Technologist - Optician

NUCC Taxonomy Code: 156FX1800X

State License FL LDO7360

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Technician/Technologist - Optician

NUCC Taxonomy Code: 156FX1800X

State License GA LDO002944

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Technician/Technologist - Optician

NUCC Taxonomy Code: 156FX1800X

State License TN DPO3507

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Jessica Gibson , MSN, CNM, ARNP

Advanced Practice Midwife

NPI 1013213057

Master of Science in Nursing, Certified Nurse Midwife, Advanced Registered Nurse Practitioner

Allison Rivers

Speech-Language Pathologist

NPI 1184013385
Diana Gibbs

Physical Therapist

NPI 1225839731
NPI 1245438704

Certified Orthotist

Stacy Taylor

Occupational Therapist

NPI 1285879783
Desiray Greer

Behavior Analyst

NPI 1396396495

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 10, 2026

Registered at 4100 S FERDON BLVD, CRESTVIEW, FL 325365252 (Tel: 8502044762)

📍
Updated Business Mailing Address March 10, 2026

Registered at 4100 S FERDON BLVD STE C2, CRESTVIEW, FL 325365287 (Tel: 8502044762)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2026

Technician/Technologist (License #LDO7360 in FL)

NPI Profile Active March 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2022

Registered at 930 MADISON AVE STE 400, MEMPHIS, TN 381037400 (Tel: 9012877337)

📍
Updated Business Mailing Address March 09, 2022

Registered at 930 MADISON AVENUE, SUITE 400, MEMPHIS, TN 381037400

👤
Provider Name / Credentials Updated March 09, 2022

Recorded as RANDYN MCMILLAN, CO, LDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Technician/Technologist (License #DPO3507 in TN)

🟢
Initial NPI Registration & Enumeration March 09, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124775168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2022
Last Update: March 10, 2026
Sole Proprietor: No

Mailing Address

4100 S Ferdon Blvd Ste C2

Crestview, FL 325365287

Phone: 8502044762

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.