Individual provider Active NPI

Laura S. Taylor, OD

  • Optometrist
  • Grand Junction, CO
National Provider Identifier
1063475093
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2036 Issued in CO
Practice address
1120 Wellington Ave
Suite 107
Grand Junction, CO 81501-6129
Phone
(970) 242-8811
Fax
(970) 242-8898
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 2036 CO Primary

Addresses

Primary practice location

1120 Wellington Ave
Suite 107
Grand Junction, CO 81501-6129

Mailing address

426 Hitching Post LN
New Castle, CO 81647-9472
Phone (970) 984-2741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20060306000751 CO Practitioner - Optometry 8325054448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2020 Eye Care PLLCGroup PAC ID 0345131181, 5 clinicians

Practice addresses (Care Compare)

3122 Blake Ave
Glenwood Springs, CO 81601-4415
Phone (970) 945-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2036COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
2020 Eye Care PLLC Optometrist CurrentSince Jun 5, 2016 Accepting new patients
2020 Eye Care PLLC Optometrist Past Accepting new patients
Grey Eye Care PC PastSince Aug 1, 2007 Accepting new patients
Grey Eye Care PC Past Accepting new patients

Locations

59 N 4th St
Carbondale, CO 81623
Phone (970) 963-3937

3122 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 945-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1063475093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 HITCHING POST LN",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816479472",
            "telephone_number": "970-984-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 WELLINGTON AVE",
            "address_2": "SUITE 107",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016129",
            "telephone_number": "970-242-8811",
            "fax_number": "970-242-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAURA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.