Organization Active NPI

Taylor Eye Associates PLLC

Doing business as Nitro Eye Care

  • Optometrist
  • Nitro, WV
National Provider Identifier
1477708972
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TAYLOR EYE ASSOCIATES PLLC
Doing business as
Nitro Eye Care
Practice address
1901 19TH St
Nitro, WV 25143-1751
Phone
(304) 755-4341
NPI assigned
Nov 25, 2008
Last updated
Aug 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Dr. Travis L Taylor, ODNPI 1134110851
Title
Member
Phone
(304) 744-1303

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1901 19TH St
Nitro, WV 25143-1751

Mailing address

1901 19TH St
PO Box 474
Nitro, WV 25143-1751
Phone (304) 755-4341

Other names 1

  • Nitro Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090407000004 WV Part B Supplier - Clinic/Group Practice 4789731860 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nitro, WV; South Charleston, WV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Nitro Eye Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1901 19th St
Nitro, WV 25143
Phone (304) 755-4341

3802 38th St
Nitro, WV 25143
Phone (304) 755-4341

Practitioners & affiliated clinicians

Practitioners 3

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": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1477708972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 19TH ST",
            "address_2": "PO BOX 474",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431751",
            "telephone_number": "304-755-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 19TH ST",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251431751",
            "telephone_number": "304-755-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-744-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nitro Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nitro, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.