Individual provider Active NPI

Nicole Simpkins Taylor, O.D.

  • Optometrist
  • Greenwood, AR
National Provider Identifier
1467485359
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2480 Issued in AR
Practice address
1268 W Center St
Greenwood, AR 72936-3716
Phone
(479) 996-9468
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2480 AR Primary

Addresses

Primary practice location

1268 W Center St
Greenwood, AR 72936-3716

Mailing address

1268 W Center St
Greenwood, AR 72936-3716
Phone (479) 996-9468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20141219000622 AR Practitioner - Optometry 2668577909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Nicole S Taylor OD PLLCGroup PAC ID 4284957499, 2 clinicians

Practice addresses (Care Compare)

1268 W Ctr St
Greenwood, AR 72936-3716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole S. Taylor, O.D., PLLC Optometrist CurrentSince Jan 5, 2015 Accepting new patients

Locations

1268 W Center St
Greenwood, AR 72936
Phone (479) 996-2400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1467485359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363716",
            "telephone_number": "479-996-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 W CENTER ST",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729363716",
            "telephone_number": "479-996-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "NICOLE",
        "middle_name": "SIMPKINS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, AR

Sources for this page

Verify at the official NPI Registry.