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NPISignal

Individual Healthcare Provider

Randyn Shamar Mcmillan, CO, LDO

NPI Record: ActiveTechnician/Technologist — Orthoptist
NPI1124775168
Crestview, Florida

Provider's NPPES record last updated: August 12, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1124775168
Primary Specialty
Technician/Technologist — Orthoptist
Practice Location
Crestview, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:52 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Technician/Technologist

    Orthoptist

    Eye and Vision Services Providers

    Primary

    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.

    Taxonomy code 156FX1900X
  • Technician/Technologist

    Optician

    Eye and Vision Services Providers

    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.

    Taxonomy code 156FX1800X

Provider-Reported License Information

Technician/Technologist (Florida)
LDO7360
Technician/Technologist (Georgia)
LDO002944
Technician/Technologist (Tennessee)
DPO3507
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

100 Price-Gregory Way

Crestview, Florida 32536-5305

Phone: (850) 204-4762

Additional Practice Location

748 Beal Pkwy Nw

Fort Walton Beach, Florida 32547

Phone: (850) 863-5215

Record Information

Enumeration Date
March 9, 2022
Provider's NPPES Record Last Updated
August 12, 2026
Certification Date
August 12, 2026
NPISignal NPPES Dataset
August 2026

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