Active NPI
Taylor Eye Associates PLLC
Doing business as Nitro Eye Care
- Optometrist
- Nitro, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Travis L Taylor, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba South Charleston Eyecare
- Optometrist
- South Charleston, WV
- NPI 1508895475
O20090407000004
National Provider Directory
National Provider Directory- Tax ID family
- Nitro Eye Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba South Charleston Eyecare
- Optometrist
- South Charleston, WV
- NPI 1508895475
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.
-
- Optometrist
- South Charleston, WV
- NPI 1134110851
-
- Optometrist
- South Charleston, WV
- NPI 1346697133
-
- Optometrist
- South Charleston, WV
- NPI 1063403459
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.