Matthew Taylor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2508 Issued in IA

Practice address

928 Valley View Dr
Ste 17
Council Bluffs, IA 51503-5288

Phone

(712) 256-8898

Fax

(712) 256-0419

NPI assigned

Aug 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Taylor Vision PCGroup PAC ID 1658545686, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Taylor Vision PC

  • Optometrist
  • Council Bluffs, IA
  • NPI 1538436761

  NE

  Medicare reassignment Care Compare group Authorized official
• MRT Optometry PC

  • Optometrist
  • Omaha, NE
  • NPI 1629585716
  Medicare reassignment NPD Authorized official
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1487969002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 VALLEY VIEW DR",
            "address_2": "STE 17",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035288",
            "telephone_number": "712-256-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 VALLEY VIEW DR",
            "address_2": "STE 17",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035288",
            "telephone_number": "712-256-8898",
            "fax_number": "712-256-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2508",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clora Marie Talley
• Muskaan Taneja
• Hannah Marie Tangeman, LMSW
• Taylor Neumann, O.D.
• Taylor Vision PC
• Daniel Teague, RPH
• Tanner James Templin, DDS
• Andrea L Thacker, ARNP
• Arianna Thacker, LPN
• The Collaborative Adult Relationship Experiences Group, LLC

• Optometrist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.