Nicole S. Taylor, O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2480 Issued in AR

Legal business name

NICOLE S. TAYLOR, O.D., PLLC

Doing business as

Taylor Family Vision

Practice address

1268 W Center St
Greenwood, AR 72936-3716

Phone

(479) 996-2400

NPI assigned

Oct 6, 2014

Last updated

Oct 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Simpkins Taylor, O.D.NPI 1467485359

Title

Owner/Doctor

Phone

(479) 996-2400

Specialties & licenses 1

Addresses

Other names 1

• Taylor Family Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Simpkins Taylor, O.D.

  • Optometrist
  • Greenwood, AR
  • NPI 1467485359
  Medicare reassignment Care Compare group NPD Authorized official
• Jessalyn Halsted, O.D.

  • Optometrist
  • Greenwood, AR
  • NPI 1174879233
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1184027146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DEERWOOD DR",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729366612",
            "telephone_number": "479-996-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363716",
            "telephone_number": "479-996-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE S. TAYLOR, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "SIMPKINS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "479-996-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Family Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn Morrison, APRN
• Brian Keith Moy, P.T.
• Mustard Seed
• Samantha Beactrice Nelson, LPN
• Newleaf Counseling of the River Valley
• Reesa Novak, PHARM.D.
• Whitney Palsa, MHPP
• Richard Earl Parks, R.PH.
• Shirley Parnell, RN, CCM, CLCP
• Michelle Renee Pass, LPC,LMFT

• Optometrist in Greenwood, AR
• Providers in Greenwood, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.