Individual provider Active NPI

Taylor Lynn Reh

  • Optometrist
  • Bellevue, OH
National Provider Identifier
1689365900
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007183 Issued in OH
Practice address
1355 W Main St Ste a
Bellevue, OH 44811-9082
Phone
(419) 483-7685
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 OPT.007183 OH Primary

Addresses

Primary practice location

1355 W Main St Ste a
Bellevue, OH 44811-9082

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Taylor Lynn Groll Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230712003557 OH Practitioner - Optometry 6709246572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

1355 W Main St
Suite a
Bellevue, OH 44811-9082
Phone (419) 483-7685

8254 Mayberry SQ N
Sylvania, OH 43560-9457
Phone (419) 885-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jun 22, 2023 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist CurrentSince Jun 22, 2023 Accepting new patients
Myeyedr Optometry of Ohio, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Past Accepting new patients

Locations

1355 W Main St
Ste A
Bellevue, OH 44811
Phone (419) 483-7685

8254 Mayberry Sq N
Sylvania, OH 43560
Phone (419) 885-5300

2200 Niles Cortland Rd SE
Warren, OH 44484
Phone (330) 349-4078

5537 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-0820

1449 Boardman Canfield Rd
Ste 230
Youngstown, OH 44512
Phone (330) 758-6671

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1689365900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W MAIN ST STE A",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119082",
            "telephone_number": "419-483-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REH",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "GROLL",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, OH

Sources for this page

Verify at the official NPI Registry.