Individual provider Active NPI

Jeffrey Lane Taylor, OD

  • Optometrist
  • Murphy, NC
National Provider Identifier
1427050210
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1607 Issued in NC
Practice address
4295 E US Highway 64 Alt
Murphy, NC 28906-6846
Phone
(828) 837-1000
Fax
(828) 837-1100
NPI assigned
Aug 11, 2005
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1607 NC Primary

Addresses

Primary practice location

4295 E US Highway 64 Alt
Murphy, NC 28906-6846

Mailing address

4295 E US Highway 64 Alt
Murphy, NC 28906-6846
Phone (828) 837-1000

Other identifiers 2

IdentifierTypeStateIssuer
8909838MedicaidNC
410040699OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100825000954 NC Practitioner - Optometry 5991882904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4295 E US 64 Alt
Murphy, NC 28906-6846
Phone (828) 837-1000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1515GAMDClinical Psychologist
1607NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Taylor OD and Lynn C. Taylor OD, PA Optometrist Current Accepting new patients
Jeffrey L Taylor OD and Lynn C Taylor OD PA Optometrist CurrentSince Jan 1, 1999 Accepting new patients
Jeffrey L. Taylor OD and Lynn C. Taylor OD, PA Optometrist CurrentSince Jan 1, 1999 Accepting new patients

Locations

29 Chestnut St
Andrews, NC 28901
Phone (828) 321-2020

4295 E US 64 Alt
Murphy, NC 28906
Phone (828) 644-8950

Organizations & group practices 3

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1427050210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 E US HIGHWAY 64 ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066846",
            "telephone_number": "828-837-1000",
            "fax_number": "828-837-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 E US HIGHWAY 64 ALT",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289066846",
            "telephone_number": "828-837-1000",
            "fax_number": "828-837-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEFFREY",
        "middle_name": "LANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909838",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410040699",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.