Individual provider Active NPI

Noel Scott Taylor, OD

  • Optometrist
  • Stonewall, LA
National Provider Identifier
1154553071
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1575-608T Issued in LA
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

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1889024MedicaidLA
180171722MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090904000061 LA Practitioner - Optometry 5294880738 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1575-608TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Central Mansfield LLC Optometrist CurrentSince Mar 15, 2018 Accepting new patients
Taylor Eye Care, LLC Optometrist CurrentSince Jul 13, 2024 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.

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

Verify at the official NPI Registry.