Individual provider Active NPI

Taylor Epp

  • Optometrist
  • Manhattan, KS
National Provider Identifier
1275152365
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2116 Issued in KS
Practice address
1400 Beechwood Ter
Manhattan, KS 66502-7438
Phone
(785) 310-4041
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2116 KS Primary

Addresses

Primary practice location

1400 Beechwood Ter
Manhattan, KS 66502-7438

Mailing address

304 E Rose
Plymouth, NE 68424-4129

Other practice location 1

1400 Beechwood Ter
Manhattan, KS 66502-7438
Phone (785) 310-4041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200811000920 KS Practitioner - Optometry 0244655017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smithville Eye Center LLCGroup PAC ID 1254338353, 12 clinicians

Practice addresses (Care Compare)

1400 Beechwood Ter
Manhattan, KS 66502-7438
Phone (785) 539-6051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smithville Eye Center LLC Optometrist CurrentSince Jul 13, 2020 Accepting new patients

Locations

532 Lincoln Ave
Clay Center, KS 67432
Phone (785) 632-6100

629 W Crawford St
Clay Center, KS 67432
Phone (785) 632-6100

2503 Central Ave
Ste C
Dodge City, KS 67801
Phone (620) 227-2471

1400 Beechwood Ter
Manhattan, KS 66502
Phone (785) 320-6770

8305 Melrose Dr
Overland Park, KS 66214

223 C St
Washington, KS 66968
Phone (785) 370-4733

Organizations & group practices 1

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1275152365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E ROSE",
            "city": "PLYMOUTH",
            "state": "NE",
            "postal_code": "684244129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BEECHWOOD TER",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027438",
            "telephone_number": "785-310-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Beechwood Ter",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665027438",
            "country_code": "US",
            "telephone_number": "785-310-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPP",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.