Individual provider Active NPI

Taylor Wilkinson, OD

  • Optometrist
  • Rockford, IL
National Provider Identifier
1619539368
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011326 Issued in IL
Practice address
6410 E State St
Rockford, IL 61108-3008
Phone
(815) 397-2020
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011326 IL Primary

Addresses

Primary practice location

6410 E State St
Rockford, IL 61108-3008

Mailing address

9443 Meadowsweet Dr
Belvidere, IL 61008-7164
Phone (815) 988-1773

Other practice location 1

62 Oakbrook Ctr
Oak Brook, IL 60523-1810
Phone (224) 500-6395

Other practice location 2

7257 S Jeffery Blvd
Chicago, IL 60649-3014
Phone (773) 493-7040

Other practice location 3

1548 E 55th St
Chicago, IL 60615-5550
Phone (773) 667-0024

Other names 1

  • Taylor Molln Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190724003781 IL Practitioner - Optometry 8527394857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

1903 W 103Rd St
Chicago, IL 60643-2624
Phone (773) 233-7799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011326ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jul 2, 2019 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jul 2, 2019 Accepting new patients
Rosin Optical Co., Inc. Optometrist Past Accepting new patients

Locations

304 N State St
Belvidere, IL 61008
Phone (815) 544-3431

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

1903 W 103rd St
Chicago, IL 60643
Phone (773) 233-7799

7257 S Jeffery Blvd
Chicago, IL 60649
Phone (312) 853-3305

1548 E 55th St
Chicago, IL 60615
Phone (773) 667-0024

6410 E State St
Rockford, IL 61108
Phone (815) 397-2020

1706 E Roosevelt Rd
Wheaton, IL 60187
Phone (630) 653-8885

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1619539368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9443 MEADOWSWEET DR",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610087164",
            "telephone_number": "815-988-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611083008",
            "telephone_number": "815-397-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Oakbrook Ctr",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231810",
            "country_code": "US",
            "telephone_number": "224-500-6395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7257 S Jeffery Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606493014",
            "country_code": "US",
            "telephone_number": "773-493-7040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1548 E 55th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606155550",
            "country_code": "US",
            "telephone_number": "773-667-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "MOLLN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.