Active NPI
Noel Scott Taylor, OD
- Optometrist
- Stonewall, LA
National Provider Identifier
1154553071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1575-608T
- Practice address
- 2434 Highway 171
Stonewall, LA 71078-9420 - Phone
- (318) 925-2345
- Fax
- (318) 925-3456
- NPI assigned
- Aug 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1575-608T | LA | Primary |
Addresses
Primary practice location
2434 Highway 171
Stonewall, LA 71078-9420
Mailing address
405 Polk St
Mansfield, LA 71052-2421
Phone (318) 423-9807
Other practice location 1
405 Polk St
Mansfield, LA 71052-2421
Phone (318) 872-0747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1889024 | Medicaid | LA | |
| 180171722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2434 Hwy 171
Stonewall, LA 71078-9420
Phone (318) 925-2345
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1575-608T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Central Mansfield LLC | Optometrist | Current | Accepting new patients |
| Taylor Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
405 Polk St
Mansfield, LA 71052
Phone (318) 212-2020
2434 Highway 171
Stonewall, LA 71078
Phone (318) 925-2345
Organizations & group practices 2
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.
-
- Optometrist
- Stonewall, LA
- NPI 1215398631
-
- Optometrist
- Mansfield, LA
- NPI 1457856296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1154553071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 POLK ST",
"city": "MANSFIELD",
"state": "LA",
"postal_code": "710522421",
"telephone_number": "318-423-9807",
"fax_number": "318-872-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 HIGHWAY 171",
"city": "STONEWALL",
"state": "LA",
"postal_code": "710789420",
"telephone_number": "318-925-2345",
"fax_number": "318-925-3456"
}
],
"practiceLocations": [
{
"address_1": "405 Polk St",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "LA",
"postal_code": "710522421",
"country_code": "US",
"telephone_number": "318-872-0747",
"fax_number": "318-872-0748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "NOEL",
"middle_name": "SCOTT",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-11",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1575-608T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1889024",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180171722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stonewall, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.