Individual provider Active NPI

Taylor McMullen, O.D.

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1346430295
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1584 Issued in AZ
Practice address
8415 N Pima Rd
Ste.155
Scottsdale, AZ 85258-4480
Phone
(480) 278-7732
Fax
(480) 302-8703
NPI assigned
Jul 26, 2007
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1584 AZ Primary

Addresses

Primary practice location

8415 N Pima Rd
Ste.155
Scottsdale, AZ 85258-4480

Mailing address

8415 N Pima Rd
Ste 155
Scottsdale, AZ 85258-4483
Phone (480) 278-7732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070918000405 AZ Practitioner - Optometry 1355435686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt River Eye Care PLLCGroup PAC ID 2567616956, 2 clinicians

Practice addresses (Care Compare)

9015 E Pima Ctr Pkwy
Suite 1
Scottsdale, AZ 85258-4615
Phone (480) 278-7732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1584AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salt River Eye Care, PLLC Optometrist CurrentSince Jun 1, 2012 Accepting new patients
Arizona Center for Pain Relief, PLLC CurrentSince May 27, 2015 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Visionworks Inc Past Accepting new patients

Locations

8415 N Pima Rd
Ste 155
Scottsdale, AZ 85258
Phone (480) 278-7732

9015 E Pima Center Pkwy
Ste 1
Scottsdale, AZ 85258
Phone (480) 278-7732

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1346430295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "STE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584483",
            "telephone_number": "480-278-7732",
            "fax_number": "480-302-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 N PIMA RD",
            "address_2": "STE.155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584480",
            "telephone_number": "480-278-7732",
            "fax_number": "480-302-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "TAYLOR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.