Individual provider Active NPI

Megan Taylor, O.D.

  • Student in an Organized Health Care Education/Training Program
  • Columbus, OH
National Provider Identifier
1124409636
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
6414 Issued in OH
Practice address
420 N James Rd
Columbus, OH 43219-1834
Phone
(614) 257-5642
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6414 OH
Student in an Organized Health Care Education/Training Program 390200000X 6414 OH Primary

Addresses

Primary practice location

420 N James Rd
Columbus, OH 43219-1834

Mailing address

420 N James Rd
Columbus, OH 43219-1834
Phone (614) 257-5642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170124003247 OH Practitioner - Optometry 5597047639 Reassigns benefits to 1 organization
I20171116003209 AL Practitioner - Optometry 5597047639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Optometry Al LLCGroup PAC ID 5496192700, 7 clinicians

Practice addresses (Care Compare)

201 6TH Ave SE
Decatur, AL 35601-3115
Phone (256) 351-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6414OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Visioncare LLC Optometrist CurrentSince Jan 30, 2017 Accepting new patients
Pathway Eye Athens Optometrist CurrentSince Oct 1, 2017 Accepting new patients
Professional Visioncare LLC Optometrist Current Accepting new patients
Star Optometry Al, LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Professional Visioncare LLC Optometrist CurrentSince Jan 30, 2017 Accepting new patients

Locations

110 College St
Ste B
Athens, AL 35611
Phone (256) 233-2393

201 6th Ave SE
Decatur, AL 35601
Phone (256) 233-2393

8200 Whitesburg Dr SW
Huntsville, AL 35802
Phone (256) 800-8058

12181 County Line Rd
Ste 190
Madison, AL 35758
Phone (256) 233-2393

16035 Highway 72
Rogersville, AL 35652
Phone (256) 247-5252

7501 Paragon Rd
Ste 201
Dayton, OH 45459

703 W Coshocton St
Johnstown, OH 43031
Phone (740) 817-9200

185 S State St
Westerville, OH 43081
Phone (614) 898-9989

937 Polaris Woods Blvd
Ste B
Westerville, OH 43082
Phone (614) 898-5285

Interoperability endpoints

  • Direct secure messaging: megan.taylor@direct.revolutionehr.com

Organizations & group practices 5

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1124409636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6414",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "6414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.