Active NPI
Larry J Taylor PC
- Optometrist
- Burlington, IA
National Provider Identifier
1699725275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1580
- Legal business name
- LARRY J TAYLOR PC
- Practice address
- 3031 Flint Hills Dr
Burlington, IA 52601-1754 - Phone
- (319) 754-5518
- NPI assigned
- May 12, 2006
- Last updated
- Oct 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry J. Taylor, O.D.
- Title
- Owner
- Phone
- (319) 754-5518
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1580 | IA | Primary |
Addresses
Primary practice location
3031 Flint Hills Dr
Burlington, IA 52601-1754
Mailing address
3031 Flint Hills Dr
Burlington, IA 52601-1754
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011866 | Medicaid | IA | |
| 10279 | Other | IA | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Burlington, IA
- NPI 1518968577
-
- Optometrist
- Burlington, IA
- NPI 1932495991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414368000000",
"number": "1699725275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 FLINT HILLS DR",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 FLINT HILLS DR",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011754",
"telephone_number": "319-754-5518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY J TAYLOR PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2014-10-27",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-754-5518",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011866",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10279",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.