Active NPI
Robert B. Taylor, OD
- Optometrist
- North Wilkesboro, NC
National Provider Identifier
1578503546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0930
- Practice address
- 826 C Street
North Wilkesboro, NC 28659 - Phone
- (336) 838-2281
- Fax
- (336) 667-3761
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0930 | NC | Primary |
Addresses
Primary practice location
826 C Street
North Wilkesboro, NC 28659
Mailing address
PO Box 878
North Wilkesboro, NC 28659-0878
Phone (336) 838-2281
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09898 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8909898 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1578503546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 878",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "286590878",
"telephone_number": "336-838-2281",
"fax_number": "336-667-3761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 C STREET",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "28659",
"telephone_number": "336-838-2281",
"fax_number": "336-667-3761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "ROBERT",
"middle_name": "B.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0930",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09898",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909898",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Wilkesboro, NC
- Leah Miraglia Tanou, PA-C
- Marley Alanna Tarlton, LCSW-A
- John David Tate
- Taylor Talk Speech Therapy
- Elizabeth E Taylor, LPCA
- Team Nurse of North Carolina, Inc.
- Team Nurse of North Carolina, Inc.
- Bradley Davis Templeton, M.D.
- The Mental Health Association in North Carolina, Inc.
- Thomas M Musson DDS,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.