Organization Active NPI

Seth Taylor OD a Professional Corporation

  • Optometrist
  • Albuquerque, NM
National Provider Identifier
1407648280
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SETH TAYLOR OD A PROFESSIONAL CORPORATION
Practice address
9935 Coors Byp NW Ste B
Albuquerque, NM 87114-6195
Phone
(505) 899-8993
Fax
(505) 898-8994
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Jeanifer Lynn Olichwier
Title
Operations Manager
Phone
(505) 449-8877

Specialties & licenses 1

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

Addresses

Primary practice location

9935 Coors Byp NW Ste B
Albuquerque, NM 87114-6195

Mailing address

9935 Coors Byp NW Ste B
Albuquerque, NM 87114-6195
Phone (505) 899-8993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1407648280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 COORS BYP NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146195",
            "telephone_number": "505-899-8993",
            "fax_number": "505-898-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9935 COORS BYP NW STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146195",
            "telephone_number": "505-899-8993",
            "fax_number": "505-898-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH TAYLOR OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "OLICHWIER",
        "authorized_official_first_name": "JEANIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "505-449-8877"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.