NPIMap

Organization Active NPI

Scott Burns Taylor

Doing business as Salmon River Vision Clinic

  • Optometrist
  • Salmon, ID
National Provider Identifier
1427256288
Registry record updated Feb 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-555 Issued in ID
Legal business name
SCOTT BURNS TAYLOR
Doing business as
Salmon River Vision Clinic
Practice address
1301 Main St
Suite 10
Salmon, ID 83467-4453
Phone
(208) 756-4811
Fax
(208) 756-3741
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2012

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

Authorized official

Name
Dr. Dustin J Jones, O.D.NPI 1174612394
Title
Owner
Phone
(208) 756-4811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X ODP-555 ID Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X ODP-100011 ID

Addresses

Primary practice location

1301 Main St
Suite 10
Salmon, ID 83467-4453

Mailing address

1301 Main St
Suite 10
Salmon, ID 83467-4453
Phone (208) 756-4811

Other names 1

  • Salmon River Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328400000000",
    "number": "1427256288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "address_2": "SUITE 10",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674453",
            "telephone_number": "208-756-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST",
            "address_2": "SUITE 10",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674453",
            "telephone_number": "208-756-4811",
            "fax_number": "208-756-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BURNS TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2012-02-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-756-4811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-555",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ID",
            "license": "ODP-100011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon River Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salmon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2012; 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.