Individual provider Active NPI

Taylor McGann

  • Optometrist
  • Columbus, OH
National Provider Identifier
1053849323
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6562 Issued in OH
Practice address
338 W 10TH Ave
Columbus, OH 43210-1280
Phone
(614) 292-2020
NPI assigned
May 31, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6562 OH Primary

Addresses

Primary practice location

338 W 10TH Ave
Columbus, OH 43210-1280

Mailing address

1026 Havendale Dr
Columbus, OH 43220-5029

Other practice location 1

9711 Sawmill Pkwy
Powell, OH 43065-6100
Phone (614) 793-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170705000632 OH Practitioner - Optometry 8729357884 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eyecare Professionals LLCGroup PAC ID 4183778764, 6 clinicians

Practice addresses (Care Compare)

3360 Tremont Rd
Suite 200
Columbus, OH 43221-2111
Phone (614) 486-5205

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6562OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Management Group LLC Optometrist CurrentSince Jun 5, 2017 Accepting new patients
Olding Eye Care, LLC Optometrist CurrentSince Feb 28, 2022 Accepting new patients
Fries Eye Care, LLC Optometrist PastSince Feb 28, 2022 Accepting new patients

Locations

265 N Liberty St
Powell, OH 43065
Phone (614) 793-0700

9711 Sawmill Pkwy
Unit C
Powell, OH 43065
Phone (614) 793-0700

584 N State St
Westerville, OH 43082
Phone (614) 895-9955

Organizations & group practices 4

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053849323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 HAVENDALE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432205029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101280",
            "telephone_number": "614-292-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9711 Sawmill Pkwy",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "OH",
            "postal_code": "430656100",
            "country_code": "US",
            "telephone_number": "614-793-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGANN",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.