Individual provider Active NPI

Lawrence Carol Taylor Jr., MD

  • Ophthalmology Physician
  • Brandon, FL
National Provider Identifier
1699771873
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 42257 Issued in FL
Practice address
540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995
Phone
(813) 684-2211
Fax
(813) 685-0895
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 42257 FL Primary

Addresses

Primary practice location

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995

Mailing address

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Other identifiers 1

IdentifierTypeStateIssuer
042474900MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltaylor@brandoneyeassociates.intellichartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000754 FL Practitioner - Ophthalmology 7911956560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Florida College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Eye Associates PAGroup PAC ID 8022067677, 10 clinicians

Practice addresses (Care Compare)

540 Medical Oaks Ave
Suite 103
Brandon, FL 33511-5995
Phone (813) 684-2211

Merit-based Incentive Payment System (MIPS)

Final score
93.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 42257FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Eye Associates PA Ophthalmology CurrentSince Jul 13, 1998 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

540 Medical Oaks Ave
Ste 103
Brandon, FL 33511
Phone (813) 684-2211

1601 W Reynolds St
Ste 100
Plant City, FL 33563
Phone (917) 744-5433

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: ltaylor8892@direct.tgh.org

Organizations & group practices 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1699771873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE",
            "address_2": "SUITE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-655-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MEDICAL OAKS AVE",
            "address_2": "SUITE 103",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115995",
            "telephone_number": "813-684-2211",
            "fax_number": "813-685-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LAWRENCE",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 42257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042474900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltaylor@brandoneyeassociates.intellichartdirect.net",
            "affiliation": "N",
            "address_1": "540 Medical Oaks Ave",
            "address_2": "Suite 103",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.