Active NPI
Rodney Dion Taylor, O.D.
- Optometrist
- Montgomery, AL
National Provider Identifier
1508078262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- R-114-TA-347
- Practice address
- 1222 Madison Ave
Montgomery, AL 36107-1830 - Phone
- (334) 834-2200
- Fax
- (334) 834-2206
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | R-114-TA-347 | AL | Primary |
Addresses
Primary practice location
1222 Madison Ave
Montgomery, AL 36107-1830
Mailing address
1222 Madison Ave
Montgomery, AL 36107-1830
Phone (334) 834-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT41219 | Other | AL | UNITED HEALTHCARE |
| 510-58508 | Other | AL | ALABAMA BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-114-TA-347 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508078262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 MADISON AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361071830",
"telephone_number": "334-834-2200",
"fax_number": "334-834-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 MADISON AVE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361071830",
"telephone_number": "334-834-2200",
"fax_number": "334-834-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "RODNEY",
"middle_name": "DION",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "R-114-TA-347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "OT41219",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BLUE CROSS",
"identifier": "510-58508",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.