Individual provider Active NPI

Taylor Scott Oberly, O.D.

  • Optometrist
  • Medford, OR
National Provider Identifier
1104368216
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AT4482 Issued in OR
Practice address
820 E Main St
Medford, OR 97504-7121
Phone
(541) 772-7273
NPI assigned
Nov 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1955 SC
Optometrist 152W00000X AT4482 OR Primary

Addresses

Primary practice location

820 E Main St
Medford, OR 97504-7121

Mailing address

820 E Main St
Medford, OR 97504-7121
Phone (541) 772-7273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20200131002022 OR Practitioner - Optometry 3072949593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 E Main St
Medford, OR 97504-7121
Phone (541) 772-7273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT4482ORMDOptometrist
4482ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medford Group Eyecare Incorporated Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Group Eyecare Center, LLC Optometrist CurrentSince Feb 2, 2020 Accepting new patients
Harrington Vision Center Inc II Optometrist Past Accepting new patients

Locations

820 E Main St
Medford, OR 97504
Phone (541) 772-7273

1430 E McAndrews Rd
Medford, OR 97504
Phone (541) 482-2441

1430 E McAndrews Rd
Ste 100
Medford, OR 97504
Phone (541) 772-7273

Organizations & group practices 3

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": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1104368216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047121",
            "telephone_number": "541-772-7273",
            "fax_number": "541-772-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047121",
            "telephone_number": "541-772-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLY",
        "first_name": "TAYLOR",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1955",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT4482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.