Organization Active NPI

Taylor Eyecare, Inc.

  • Optometrist
  • Brandon, MS
National Provider Identifier
1528360377
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MS747 Issued in MS
Legal business name
TAYLOR EYECARE, INC.
Practice address
2155 Highway 18
Suite D
Brandon, MS 39042-2773
Phone
(601) 951-0472
Fax
(502) 499-2198
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Anna P Taylor, O.D.NPI 1912112780
Title
Owner
Phone
(601) 951-0472

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MS747 MS Primary

Addresses

Primary practice location

2155 Highway 18
Suite D
Brandon, MS 39042-2773

Mailing address

2155 Highway 18
Suite D
Brandon, MS 39042-2773
Phone (601) 951-0472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000197 MS Part B Supplier - Clinic/Group Practice 1557542990 Receives reassigned benefits from 2 practitioners
Practice locations: Brandon, MS

National Provider Directory

National Provider Directory

Locations

315 Crossgates Blvd
Ste G
Brandon, MS 39042
Phone (601) 706-4752

2155 Highway 18
Ste D
Brandon, MS 39042
Phone (601) 706-4752

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1528360377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 HIGHWAY 18",
            "address_2": "SUITE D",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422773",
            "telephone_number": "601-951-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 HIGHWAY 18",
            "address_2": "SUITE D",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422773",
            "telephone_number": "601-951-0472",
            "fax_number": "502-499-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-951-0472",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "MS747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.

Verify at the official NPI Registry.