Active NPI
Taylor Hutchins
- Optometrist
- Safford, AZ
National Provider Identifier
1588005607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1907
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1907 | AZ | MD | Optometrist |
| 8683123-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Zucker OD PC | Optometrist | Current | Accepting new patients |
| Paul R Gooch OD & Associates, PC | Optometrist | Current | Accepting new patients |
| U2Rworthit1 LLC | Past | 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.
-
- Primary Care Nurse Practitioner
- Tucson, AZ
- NPI 1265187900
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.