Organization Active NPI

Dr. Donald K Taylor

  • Optometrist
  • Princeton, WV
National Provider Identifier
1619044963
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
689-OD Issued in WV
Legal business name
DR. DONALD K TAYLOR
Doing business as
Taylor Optical Co.
Practice address
868 Mercer St
Princeton, WV 24740-2908
Phone
(304) 425-3679
Fax
(304) 425-7265
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mrs. Jean Aliff
Title
Offfice Manager
Phone
(304) 325-8685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 689-OD WV Primary

Addresses

Primary practice location

868 Mercer St
Princeton, WV 24740-2908

Mailing address

410 Fincastle LN
Bluefield, VA 24605-9243
Phone (304) 425-3679

Other identifiers 10

IdentifierTypeStateIssuer
010117135MedicaidVA
0150605000MedicaidWV
9280028001MedicaidWV
0150072000MedicaidWV
001719832OtherWVBLUE CROSS
009204342MedicaidVA
287817OtherWVMAMSI
0451528OtherVAANTHEM BLUE CROSS
0100049211MedicaidVA
1055543OtherWVBRICKSTREET

Other names 1

  • Taylor Optical Co. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Donald K Taylor4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

868 Mercer St
Princeton, WV 24740
Phone (304) 425-3679

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1619044963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FINCASTLE LN",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059243",
            "telephone_number": "304-425-3679",
            "fax_number": "304-425-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402908",
            "telephone_number": "304-425-3679",
            "fax_number": "304-425-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DONALD K TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ALIFF",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFFICE MANAGER",
        "authorized_official_telephone_number": "304-325-8685",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WV",
            "license": "689-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010117135",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150605000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280028001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150072000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001719832",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204342",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "287817",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "0451528",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100049211",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET",
            "identifier": "1055543",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor Optical Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.