Lane, Milton Julius

Lane, Milton Julius is an individual health care provider with primary practice located at 10700 N Rodney Parham Rd , Little Rock AR 72212-4113. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Lane, Milton Julius can be contacted via phone (501) 225-4648.

Contact Information

Primary practice address
10700 N Rodney Parham Rd Little Rock AR 72212-4113
Fax: (501) 225-8628
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2219 Arkansas
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2219 Arkansas

Profile Details

NPI number 1801871595
LBN Legal business name Lane, Milton Julius
Credentials BS, BSBA, MBA, OD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801871595 NPPES
Arkansas MEDICAID 104558722

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