NPIMap

Organization Active NPI

Robert W. Taylor

  • Optometrist
  • Scottdale, PA
National Provider Identifier
1306087408
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000786 Issued in PA
Legal business name
ROBERT W. TAYLOR
Practice address
109 Crossroads Rd
Suite 108
Scottdale, PA 15683-2458
Phone
(724) 220-2430
Fax
(724) 220-2431
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Robert W Taylor, OD
Title
Owner
Phone
(724) 220-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000786 PA Primary

Addresses

Primary practice location

109 Crossroads Rd
Suite 108
Scottdale, PA 15683-2458

Mailing address

109 Crossroads Rd
Suite 108
Scottdale, PA 15683-2458
Phone (724) 220-2430

National Provider Directory

National Provider Directory

Locations

109 Crossroads Rd
Ste 108
Scottdale, PA 15683
Phone (724) 220-2430

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1306087408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 108",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-220-2430",
            "fax_number": "724-220-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 108",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-220-2430",
            "fax_number": "724-220-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-220-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.