Individual provider Active NPI

Taylor Hutchins

  • Optometrist
  • Safford, AZ
National Provider Identifier
1588005607
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1907 Issued in AZ
Practice address
2242 W 16TH St
Safford, AZ 85546-4081
Phone
(928) 428-0068
Fax
(928) 428-0713
NPI assigned
Jul 17, 2013
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1907 AZ Primary
Optometrist 152W00000X 8683123-9934 UT

Addresses

Primary practice location

2242 W 16TH St
Safford, AZ 85546-4081

Mailing address

2610 E University Dr
Mesa, AZ 85213-8436
Phone (480) 892-8400

Other practice location 1

6843 N Oracle Rd
Tucson, AZ 85704-4280
Phone (520) 888-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130821000549 AZ Practitioner - Optometry 9638312770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1907AZMDOptometrist
8683123-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Zucker OD PC Optometrist CurrentSince Mar 20, 2021 Accepting new patients
Paul R Gooch OD & Associates, PC Optometrist CurrentSince Jan 15, 1998 Accepting new patients
U2Rworthit1 LLC PastSince Oct 21, 2025 Accepting new patients
Southwest Vision, LLC Optometrist Past Accepting new patients

Locations

6843 N Oracle Rd
Tucson, AZ 85704
Phone (520) 219-5080

965 E 700 S
Ste 100
St George, UT 84790
Phone (435) 673-5577

Organizations & group practices 4

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1588005607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138436",
            "telephone_number": "480-892-8400",
            "fax_number": "480-833-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464081",
            "telephone_number": "928-428-0068",
            "fax_number": "928-428-0713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6843 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857044280",
            "country_code": "US",
            "telephone_number": "520-888-0099",
            "fax_number": "520-888-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1907",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8683123-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.