Individual provider Active NPI

Taylor Lee Yeardie, OD

  • Optometrist
  • Henderson, KY
National Provider Identifier
1578439147
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2462DT Issued in KY
Practice address
300 9TH St
Henderson, KY 42420-2751
Phone
(270) 827-8681
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2462DT KY Primary

Addresses

Primary practice location

300 9TH St
Henderson, KY 42420-2751

Mailing address

103 Barnett Ave
Brownsville, PA 15417-8710

Other practice location 1

3310 Professional Park
Owensboro, KY 42303-2497
Phone (364) 800-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251205002111 KY Practitioner - Optometry 4082107198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Kentucky Professional, PLLC 13 clinicians

Practice addresses (Care Compare)

300 9TH St
Henderson, KY 42420-2751
Phone (270) 827-8681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2462DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Kentucky Professional, PLLC Optometrist CurrentSince Oct 19, 2025 Accepting new patients
Owensboro Family Eye Care Center PSC Optometrist Past Accepting new patients

Locations

300 9th St
Henderson, KY 42420
Phone (270) 827-8681

3310 Professional Park
Owensboro, KY 42303
Phone (270) 683-2101

3310 Professional Park
Ste 101
Owensboro, KY 42303
Phone (270) 683-2101

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1578439147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BARNETT AVE",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154178710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 9TH ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202751",
            "telephone_number": "270-827-8681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Professional Park",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423032497",
            "country_code": "US",
            "telephone_number": "364-800-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEARDIE",
        "first_name": "TAYLOR",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2462DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

Verify at the official NPI Registry.