Taylor Eye Associates, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TAYLOR EYE ASSOCIATES, PLLC

Doing business as

South Charleston Eyecare

Practice address

415 D St
South Charleston, WV 25303-3107

Phone

(304) 744-1303

Fax

(304) 744-1316

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Travis L Taylor, O.D.NPI 1134110851

Title

Member

Phone

(304) 744-1303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Charleston Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Taylor Eye Associates PLLC

  dba Nitro Eye Care

  • Optometrist
  • Nitro, WV
  • NPI 1477708972

  O20090407000004

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Taylor Eye Associates PLLC

  dba Nitro Eye Care

  • Optometrist
  • Nitro, WV
  • NPI 1477708972
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Taylor, O.D.

  • Optometrist
  • South Charleston, WV
  • NPI 1134110851
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Parsons, O.D.

  • Optometrist
  • South Charleston, WV
  • NPI 1346697133
  Medicare reassignment Care Compare group NPD
• Sarah Yates Taylor, O.D.

  • Optometrist
  • South Charleston, WV
  • NPI 1063403459
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1508895475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8397",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253030397",
            "telephone_number": "304-744-1303",
            "fax_number": "304-744-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033107",
            "telephone_number": "304-744-1303",
            "fax_number": "304-744-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR EYE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-10-07",
        "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": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205140000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Charleston Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genette Tallman
• Paula Jean Tallman
• William L. Tanzey II, RETIRED LPC
• Muhib Shukri Tarakji, MD
• Lisa Tate-Keyser, M.A.
• Dorethea L Taylor-Henshaw, RN
• Christina Lynn Taylor
• Emily Taylor
• Hailey Grace Taylor
• Joseph Andrew Taylor

• Optometrist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.