| Doctor Name: | DR. ROBERT DANCY MILLICAN |
| NPI Number: | 1205909389 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | OPT1245 |
| Business Practice Address: | 1626 Frederica Rd Ste101 St Simons Island, GA - 31522 |
| Business Phone Number: | 9126345711 |
| Business Fax Number: | 9126345713 |
| Mailing Address: | 1626 Frederica Rd, Ste 101 ST SIMONS ISLAND |
| State: | GA |
| Postal Code: | 31522 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 01/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | OPT1245 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |