Individual provider Active NPI

Darcy Coats Taylor, O.D.

  • Optometrist
  • Beaverton, OR
National Provider Identifier
1477730877
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3232AT1 Issued in OR
Practice address
4655 SW Griffith Dr Ste 165
Beaverton, OR 97005-8731
Phone
(503) 646-8592
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3232AT1 OR Primary

Addresses

Primary practice location

4655 SW Griffith Dr Ste 165
Beaverton, OR 97005-8731

Mailing address

4655 SW Griffith Dr Ste 165
Beaverton, OR 97005-8731
Phone (503) 646-8592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141120001384 OR Practitioner - Optometry 0840360962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A New Vision PCGroup PAC ID 0749339000, 4 clinicians

Practice addresses (Care Compare)

4655 SW Griffith Dr
Suite 165
Beaverton, OR 97005-8728

4655 SW Griffith Dr
Suite 165
Beaverton, OR 97005-8731
Phone (503) 646-8592

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3232AT1ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A New Vision, P.C. Optometrist CurrentSince Aug 16, 2014 Accepting new patients

Locations

4655 SW Griffith Dr
Ste 165
Beaverton, OR 97005
Phone (503) 646-8592

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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1477730877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 SW GRIFFITH DR STE 165",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058731",
            "telephone_number": "503-646-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 SW GRIFFITH DR STE 165",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058731",
            "telephone_number": "503-646-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DARCY",
        "middle_name": "COATS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3232AT1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.