Organization Active NPI

Anh Taylor Optometry Services, LLC

  • Optometrist
  • Omaha, NE
National Provider Identifier
1073906491
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NE 1189 Issued in NE
Legal business name
ANH TAYLOR OPTOMETRY SERVICES, LLC
Practice address
1606 S 72ND St
Omaha, NE 68124-1600
Phone
(402) 393-9576
Fax
(402) 393-9578
NPI assigned
Mar 10, 2015
Last updated
Mar 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Anh Thi-Tuyet Taylor, ODNPI 1538210281
Title
Optometrist
Phone
(402) 316-8077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NE 1189 NE Primary

Addresses

Primary practice location

1606 S 72ND St
Omaha, NE 68124-1600

Mailing address

8936 N 56TH Avenue Cir
Omaha, NE 68152-1781
Phone (402) 316-8077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150806011843 NE Part B Supplier - Clinic/Group Practice 3173837929 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1073906491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8936 N 56TH AVENUE CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521781",
            "telephone_number": "402-316-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241600",
            "telephone_number": "402-393-9576",
            "fax_number": "402-393-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH TAYLOR OPTOMETRY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANH",
        "authorized_official_middle_name": "THI-TUYET",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-316-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "NE 1189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.