Taylor Grant Walden, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003616A Issued in IN

Practice address

50 N Perry St
Hagerstown, IN 47346-1223

Phone

(765) 489-4463

Fax

(765) 489-5897

NPI assigned

Aug 3, 2009

Last updated

Aug 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: taylorwalden@direct.revolutionehr.com

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.

• Walden Eye Care, LLC

  • Optometrist
  • Hagerstown, IN
  • NPI 1578848297
  Medicare reassignment Authorized official
• Walden Eye Care, LLC

  • Optometrist
  • Hagerstown, IN
  • NPI 1740673631
  Authorized official Same address or phone

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1144451527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461223",
            "telephone_number": "765-489-4463",
            "fax_number": "765-489-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461223",
            "telephone_number": "765-489-4463",
            "fax_number": "765-489-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "TAYLOR",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1572",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003616A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reid Physician Associates, Inc (Hagerstown Family Practice)
• Erin Alexis Shadle, M.A.
• Michelle C. Siegman, M.A., CCC-A
• Walden Eye Care, LLC
• Walden Eye Care, LLC
• Keirstan West, NP
• William P. Cornils DDS,PC
• Cliff S. Wright, D.C.

• Optometrist in Hagerstown, IN
• Providers in Hagerstown, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.