Jeremy Wade Taylor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3201ATI Issued in OR

Practice address

2207 Portland Rd Ste a
Newberg, OR 97132-1371

Phone

(503) 538-3277

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newberg Vision Clinic, P.C.Group PAC ID 1456452838, 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.

• Newberg Vision Clinic, P.C.

  • Optometrist
  • Newberg, OR
  • NPI 1699973180
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1700867983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 PORTLAND RD STE A",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321371",
            "telephone_number": "503-538-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 PORTLAND RD STE A",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321371",
            "telephone_number": "503-538-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JEREMY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3201ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R138342",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy S. Swindle, MD
• Brittni Swink
• Mary Ann Tack, D.C.
• Lacy Taghon, LMT
• Debbie Sue Taylor, LMT
• Paula Ann Taylor, O.D.
• Sharron Elaine Taylor, RN
• Tending the Vineyard
• Amelia Sarah Tesulov
• Janelle R Thayer-Engle, M.A., L.P.C.

• Optometrist in Newberg, OR
• Providers in Newberg, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.