George M Taylor, Jr., O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT731 Issued in ME

Legal business name

GEORGE M TAYLOR, JR., O.D., LLC

Practice address

330 North St
Calais, ME 04619-1209

Phone

(207) 454-2255

Fax

(207) 952-9151

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By 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. George M Taylor Jr., O.D.

Title

Owner and Optometrist

Phone

(207) 454-2255

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• George M. Taylor, Jr., O.D. Clais Family Eye Care Former legal business name

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1336507003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NORTH ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191209",
            "telephone_number": "207-454-2255",
            "fax_number": "207-952-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NORTH ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191209",
            "telephone_number": "207-454-2255",
            "fax_number": "207-952-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M TAYLOR, JR., O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND OPTOMETRIST",
        "authorized_official_telephone_number": "207-454-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410039523",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140840000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH",
            "identifier": "020400758",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George M. Taylor, Jr., O.D. Clais Family Eye Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David Feiner, M.D.
• Jack Foreman
• Kristen Fowler, MHRT-CSP
• Randy French, OQMHP-C
• Shannon Marie Gee, RDH
• Brian J Giles, BHP
• Brittany Rae Goding, CADC
• William Robert Gould, DDS
• Shannon Gove
• Joshua A Grass, LCSW, CADC

• Optometrist in Calais, ME
• Providers in Calais, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.