Nicholas Taylor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2346DT Issued in KY

Practice address

120 Daniel Boone PLZ
Hazard, KY 41701-5335

Phone

(606) 436-6565

NPI assigned

Jul 26, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Taylormade Eyecare Professional name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Taylormade Eyecare

  • Optometrist
  • Hazard, KY
  • NPI 1023892205
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1356022966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DANIEL BOONE PLZ",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015335",
            "telephone_number": "606-436-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DANIEL BOONE PLZ",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015335",
            "telephone_number": "606-436-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICHOLAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2346DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLORMADE",
            "last_name": "EYECARE",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vickie Tackett
• Ashley A Taylor, APRN
• John Corey Taylor, MD
• Justin Michael Taylor, LPCC
• Kay Delphia Taylor, PMHNP
• Shelly Taylor
• Taylormade Eyecare
• John Frank Termini, MD
• Linda Thacker
• Akanksha Thakkar

• Optometrist in Hazard, KY
• Providers in Hazard, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.