Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Randyn Shamar McMillan, CO, LDO

Individual provider Optician · NPI 1124775168

Mr. Randyn Shamar McMillan, CO, LDO is an Optician in Crestview, Florida. Licensed in Florida, Georgia and Tennessee. Registered with an NPI since 2022.

Licensed in
FL, GA, TN
In the registry since
2022
Specialties on file
4

Practice location Address checks out

4100 S Ferdon Blvd
Crestview, FL 32536-5252
Phone: (850) 204-4762
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthoptist (primary) Taxonomy 156FX1900X
Optician Taxonomy 156FX1800X · Licence LDO7360 (FL)
Optician Taxonomy 156FX1800X · Licence LDO002944 (GA)
Optician Taxonomy 156FX1800X · Licence DPO3507 (TN)

Record details

NPI number1124775168
Entity typeIndividual (Type 1)
GenderMale
Credentials CO , LDO
Sole proprietorNo
NPI enumeratedMarch 9, 2022
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

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