Individual provider Active NPI

Teresa M Taylor, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1629078050
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TLG35369 Issued in CA
Practice address
7075 N Sharon Ave
Fresno, CA 93720-3329
Phone
(559) 486-2000
NPI assigned
Jul 28, 2005
Reactivated
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT2576 CO
Optometrist 152W00000X 398T WY
Optometrist 152W00000X TLG35369 CA Primary

Addresses

Primary practice location

7075 N Sharon Ave
Fresno, CA 93720-3329

Mailing address

7075 N Sharon Ave Ste 102
Fresno, CA 93720-3329
Phone (559) 486-2000

Other identifiers 4

IdentifierTypeStateIssuer
114890700MedicaidWY
2576OtherCOOPT LICENSE
35369OtherCATLG LICENSE
97871290MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221230002120 CA Practitioner - Optometry 6002841590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7075 N Sharon Ave
Fresno, CA 93720-3329
Phone (559) 486-2000

Merit-based Incentive Payment System (MIPS)

Final score
90.05 of 100Reported as group
Quality
88.19
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
TLG35369CAMDOptometrist
OPT2576COMDOptometrist
35369CAMDPharmacist
2576COMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Center, a Medical Group, Inc Optometrist Current Accepting new patients
Vision Care Center, a Medical Group Inc Current Accepting new patients
Vision Care Center, a Medical Group Inc Optometrist CurrentSince Jan 16, 2023 Accepting new patients
Vision Care Center, a Medical Group, Inc Optometrist Past Accepting new patients

Locations

2535 Alluvial Ave
Clovis, CA 93611
Phone (559) 486-2000

7075 N Sharon Ave
Fresno, CA 93720
Phone (559) 486-2000

7075 N Sharon Ave
Ste 102
Fresno, CA 93720

2719 Cinema Way
Selma, CA 93662
Phone (559) 486-2000

Interoperability endpoints

  • Direct secure messaging: teresa.taylor.p1@direct.eyeqvc.nextgenshare.com

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1629078050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 N SHARON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203329",
            "telephone_number": "559-486-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERESA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT2576",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "398T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "TLG35369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114890700",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT LICENSE",
            "identifier": "2576",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLG LICENSE",
            "identifier": "35369",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97871290",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.