Individual provider Active NPI

Taylor Jane Kerr, OD

  • Optometrist
  • Oregon City, OR
National Provider Identifier
1700774569
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4785 Issued in OR
Practice address
1306 Division St
Oregon City, OR 97045-1523
Phone
(503) 656-4221
NPI assigned
Jun 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4785 OR Primary

Addresses

Primary practice location

1306 Division St
Oregon City, OR 97045-1523

Mailing address

1306 Division St
Oregon City, OR 97045-1523
Phone (503) 656-4221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20250715000764 OR Practitioner - Optometry 5597270959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

1306 Division St
Oregon City, OR 97045-1596
Phone (503) 656-4221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4785ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest, PC CurrentSince Aug 15, 2025 Accepting new patients
Eye Health Northwest P.C. Optometrist CurrentSince Aug 15, 2025 Accepting new patients

Locations

1306 Division St
Oregon City, OR 97045
Phone (503) 656-4221

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

Interoperability endpoints

  • Direct secure messaging: taylor.kerr@direct.ehnpc.nextgenshare.com

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1700774569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451523",
            "telephone_number": "503-656-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451523",
            "telephone_number": "503-656-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "TAYLOR",
        "middle_name": "JANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.