Taylor Elizabeth O'Daniel

Primary specialty

OptometristTaxonomy code 152W00000X

License

1074P-Y Issued in MS

Practice address

3126 E Roane Ave
Eupora, MS 39744-2638

Phone

(662) 258-2020

NPI assigned

Jul 18, 2023

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

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Southern College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic of Houston IncGroup PAC ID 0143222018, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Clinic of Houston Inc

  • Optometrist
  • Houston, MS
  • NPI 1548314818
  Medicare reassignment Care Compare group NPD
• Eye Clinic of Eupora, Inc

  • Optometrist
  • Eupora, MS
  • NPI 1033240825
  Medicare reassignment NPD
• Eye Clinic of West Point, Inc

  • Optometrist
  • West Point, MS
  • NPI 1396879912
  Medicare reassignment NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1689354417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397440225",
            "telephone_number": "662-258-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 E ROANE AVE",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397442638",
            "telephone_number": "662-258-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DANIEL",
        "first_name": "TAYLOR",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1074P-Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murphy Medical Supply LLC
• Haley Murphy, FNP-C
• Daulton Newman, MD
• North Mississippi Medical Clinics Inc
• North Mississippi Medical Clinics Inc
• Sandra Faye Oswalt, CFNP
• Charles Ozborn, MD
• Hannah Pittman, NP-C
• Angela P Reed, NP-C
• Region Seven Mental Health Idd Commission

• Optometrist in Eupora, MS
• Providers in Eupora, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.