Individual provider Active NPI

Anh Thi-Tuyet Taylor, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1538210281
Registry record updated Jan 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1189 Issued in NE
Practice address
1606 S 72ND St
Omaha, NE 68124-1600
Phone
(402) 393-9576
Fax
(402) 393-9578
NPI assigned
Jan 16, 2007
Last updated
Jan 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1189 NE Primary
Vision Therapy Optometrist 152WV0400X 364 NE

Addresses

Primary practice location

1606 S 72ND St
Omaha, NE 68124-1600

Mailing address

1606 S 72ND St
Omaha, NE 68124-1600
Phone (402) 393-9576

Other names 1

  • Ms. Anh Thi-Tuyet Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20090910000428 NE Practitioner - Optometry 1557416849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1606 S 72ND St
Omaha, NE 68124-1600
Phone (402) 393-9576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
364NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anh Taylor Optometry Services, LLC Optometrist CurrentSince Jun 1, 2015 Accepting new patients
Walmart Inc. Past Accepting new patients

Locations

1606 S 72nd St
Omaha, NE 68124
Phone (402) 393-9571

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232755200000",
    "number": "1538210281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 S 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241600",
            "telephone_number": "402-393-9576",
            "fax_number": "402-393-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S 72ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241600",
            "telephone_number": "402-393-9576",
            "fax_number": "402-393-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANH",
        "middle_name": "THI-TUYET",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1189",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANH",
            "last_name": "NGUYEN",
            "middle_name": "THI-TUYET",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.