Clint T Taylor OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CLINT T TAYLOR OD LLC

Practice address

304 S Church St
Carmi, IL 62821-1604

Phone

(618) 382-4683

Fax

(618) 382-4684

NPI assigned

Nov 7, 2007

Last updated

Jan 25, 2008By 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. Clint T. Taylor, ODNPI 1811931769

Title

Owner

Phone

(618) 382-4683

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 6

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.

• Clint T Taylor, OD

  • Optometrist
  • Carmi, IL
  • NPI 1811931769
  Medicare reassignment NPD Authorized official
• Michael Alan Morris, MD

  • Ophthalmology Physician
  • Marion, IL
  • NPI 1417119488
  NPD (past)
• Sykes Thompson, OD

  • Optometrist
  • Harrisburg, IL
  • NPI 1063145647
  NPD (past)
• Thomas A Brummer, MD

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1275582900
  NPD (past)
• Karishma Habbu, M.D.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1003341413
  NPD (past)
• Andrew Taylor Strand, D.O.

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1295077402
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1245410281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S CHURCH ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211604",
            "telephone_number": "618-382-4683",
            "fax_number": "618-382-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S CHURCH ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211604",
            "telephone_number": "618-382-4683",
            "fax_number": "618-382-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINT T TAYLOR OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-382-4683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Homes, Inc. (Wabash Christian Retirement Center)
• Christian Homes, Inc. (Wabash Christian Nursing Center)
• Christian Homes, Inc. (Wabash Christian Retirement)
• Christopher Greater Area Rural Health Planning Corporation (Carmi Community Health Center)
• Keri Dawn Clark, RN
• Community Health & Emergency Services, Inc
• Audrey Coons
• Cornerstone Healthcare of Illinois, Inc. (White County Medical Center)
• County of White
• Amy Renee Courson

• Optometrist in Carmi, IL
• Providers in Carmi, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.