Taylormade Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TAYLORMADE EYECARE

Practice address

120 Daniel Boone PLZ
Hazard, KY 41701-5335

Phone

(606) 436-6565

NPI assigned

Aug 21, 2023

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

TAYLORMADE EYECAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Taylor, ODNPI 1356022966

Title

Owner

Phone

(606) 454-2858

Specialties & licenses 1

Addresses

Other names 1

• TaylorMade Eyecare Former legal business name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Part of

Taylormade Eyecare

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Taylor, OD

  • Optometrist
  • Hazard, KY
  • NPI 1356022966
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1023892205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1024",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415021024",
            "telephone_number": "606-436-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DANIEL BOONE PLZ",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015335",
            "telephone_number": "606-436-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORMADE EYECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAYLORMADE EYECARE",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-454-2858",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TaylorMade Eyecare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John Corey Taylor, MD
• Justin Michael Taylor, LPCC
• Kay Delphia Taylor, PMHNP
• Nicholas Taylor, OD
• Shelly Taylor
• John Frank Termini, MD
• Linda Thacker
• Akanksha Thakkar
• The Village Doctor, LLC
• Daniel Glen Thies, PHARMD

• Optometrist in Hazard, KY
• Providers in Hazard, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.