Individual provider Active NPI

Taylor Rotz, OD

  • Optometrist
  • Jupiter, FL
National Provider Identifier
1568127447
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6061 Issued in FL
Practice address
6380 W Indiantown Rd Ste 14
Jupiter, FL 33458-7979
Phone
(561) 842-2020
Fax
(561) 529-3683
NPI assigned
Nov 4, 2021
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 27OA00708300 NJ
Vision Therapy Optometrist 152WV0400X 27OA00708300 NJ
Optometrist 152W00000X 27OA00708300 NJ
Optometrist 152W00000X OPC6061 FL Primary

Addresses

Primary practice location

6380 W Indiantown Rd Ste 14
Jupiter, FL 33458-7979

Mailing address

6380 W Indiantown Rd Ste 14
Jupiter, FL 33458-7979
Phone (561) 842-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220812000077 FL Practitioner - Optometry 6800279670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye and Ear of Palm Springs IncGroup PAC ID 2567504947, 3 clinicians
Eye and Ear of Chasewood LLCGroup PAC ID 7416283429, 4 clinicians

Practice addresses (Care Compare)

1742 S Congress Ave
Palm Springs, FL 33461-2140
Phone (561) 964-1333

6380 W Indiantown Rd
Suite 14
Jupiter, FL 33458-7979
Phone (561) 842-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6061FLMDOptometrist
27OA00708300NJMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye & Ear of Palm Springs, Inc. Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Eye & Ear of Chasewood LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients

Locations

6380 W Indiantown Rd
Ste 14
Jupiter, FL 33458
Phone (561) 529-3683

1742 S Congress Ave
Palm Springs, FL 33461
Phone (561) 366-8300

Networks

  • Freedom Health HMO Network

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": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1568127447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 W INDIANTOWN RD STE 14",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587979",
            "telephone_number": "561-842-2020",
            "fax_number": "561-529-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 W INDIANTOWN RD STE 14",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587979",
            "telephone_number": "561-842-2020",
            "fax_number": "561-529-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTZ",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NJ",
            "license": "27OA00708300",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00708300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00708300",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.