Individual provider Active NPI

Taylor Gaddis Brewer

  • Optometrist
  • Owensboro, KY
National Provider Identifier
1043837610
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2181DT Issued in KY
Practice address
1705 Frederica St
Owensboro, KY 42301-4814
Phone
(270) 683-2122
NPI assigned
Jun 30, 2020
Last updated
Jun 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2181DT KY Primary

Addresses

Primary practice location

1705 Frederica St
Owensboro, KY 42301-4814

Mailing address

1705 Frederica St
Owensboro, KY 42301-4814
Phone (270) 993-9814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200716002570 KY Practitioner - Optometry 5294159703 Reassigns benefits to 1 organization
I20210908001165 IN Practitioner - Optometry 5294159703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Simpson and Bigham OD PartnershipGroup PAC ID 1557406337, 4 clinicians
Onhealthcare LLCGroup PAC ID 8527221480, 29 clinicians

Practice addresses (Care Compare)

2417 W Franklin St
Evansville, IN 47712-5564
Phone (812) 423-5000

8425 Woodfield Crossing Blvd
Suite 100
Indianapolis, IN 46240-7316
Phone (248) 528-2116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Indiana Professional PC Optometrist CurrentSince Apr 26, 2024 Accepting new patients
Simpson & Bigham OD Partnership Optometrist CurrentSince Mar 5, 2025 Accepting new patients
Onhealthcare LLC CurrentSince Apr 6, 2022 Accepting new patients
Bluegrass Eye Care, PLLC Optometrist CurrentSince Sep 23, 2024 Accepting new patients
William F. Metzger, PSC Optometrist CurrentSince Apr 6, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Aug 18, 2020 Accepting new patients
Onhealthcare, LLC Optometrist CurrentSince Apr 6, 2022 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

2417 W Franklin St
Evansville, IN 47712
Phone (812) 423-5000

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 554-0555

7534 Peachwood Dr
Newburgh, IN 47630
Phone (812) 858-3937

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

1705 Frederica St
Owensboro, KY 42301
Phone (270) 683-2121

5220 Frederica St
Owensboro, KY 42301
Phone (270) 684-1174

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1043837610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-993-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-683-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "TAYLOR",
        "middle_name": "GADDIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2181DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.