Terri L Taylor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003870A Issued in IN

Practice address

1020 W Buena Vista Rd
Evansville, IN 47710-5150

Phone

(812) 423-3131

Fax

(812) 426-7020

NPI assigned

Sep 17, 2006

Last updated

Feb 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1659478378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W BUENA VISTA RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105150",
            "telephone_number": "812-423-3131",
            "fax_number": "812-426-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W BUENA VISTA RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105150",
            "telephone_number": "812-423-3131",
            "fax_number": "812-426-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003870A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000211012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201249590",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1417DT",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77014173",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Taylor, PHARMD
• Jordin Taylor
• Katherine 'Mikki' Taylor, MSSW LCSW
• Noah A Taylor, M.D
• Rebekah Lynn Taylor
• Vernon Taylor Jr., MD
• Victoria Taylor
• TCS Inc (Physicians Center Pharmacy)
• Candice M Teague, CST
• Francislynn V Tecson, PT

• Optometrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.