Individual provider Active NPI

Sarah Yates Taylor, O.D.

  • Optometrist
  • South Charleston, WV
National Provider Identifier
1063403459
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
972 OD Issued in WV
Practice address
415 D St
South Charleston, WV 25303-3107
Phone
(304) 744-1303
Fax
(304) 744-1316
NPI assigned
Nov 3, 2005
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 972 OD WV Primary

Addresses

Primary practice location

415 D St
South Charleston, WV 25303-3107

Mailing address

415 D St
PO Box 8397
South Charleston, WV 25303-3107
Phone (304) 744-1303

Other identifiers 3

IdentifierTypeStateIssuer
3105003000MedicaidWV
001722601OtherWVMT. STATE BC/BS
5256703OtherWVAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20060309000456 WV Practitioner - Optometry 6709893118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Eye Associates, PLLCGroup PAC ID 4789731860, 3 clinicians

Practice addresses (Care Compare)

415 D St
South Charleston, WV 25303-3107
Phone (304) 744-1303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
972WVMDRegistered Dietitian
972 ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Eye Associates, PLLC Optometrist CurrentSince Jan 25, 2002 Accepting new patients
Taylor Eye Associates PLLC Optometrist PastSince Jan 25, 2002 Accepting new patients
S. Glenn Bailey O.D., Inc. Optometrist PastSince Jan 1, 1996 Accepting new patients
Eye Doc Inc Optometrist Past Accepting new patients

Locations

3802 38th St
Nitro, WV 25143
Phone (304) 755-4341

415 D St
South Charleston, WV 25303
Phone (304) 744-1303

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1063403459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 D ST",
            "address_2": "PO BOX 8397",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033107",
            "telephone_number": "304-744-1303",
            "fax_number": "304-744-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033107",
            "telephone_number": "304-744-1303",
            "fax_number": "304-744-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SARAH",
        "middle_name": "YATES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "972 OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3105003000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE BC/BS",
            "identifier": "001722601",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5256703",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.