George D Taylor OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002045A Issued in IN

Legal business name

GEORGE D TAYLOR OD PC

Practice address

3401 Lake Ave
Fort Wayne, IN 46805-5500

Phone

(260) 426-3095

Fax

(260) 420-2258

NPI assigned

Oct 31, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George D TaylorNPI 1023098589

Title

OD

Phone

(260) 426-3095

Specialties & licenses 1

Addresses

Practitioners 1

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.

• George D Taylor, OD

  • Optometrist
  • Fort Wayne, IN
  • NPI 1023098589
  Authorized official Same address or phone

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1730368341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055500",
            "telephone_number": "260-426-3095",
            "fax_number": "260-420-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055500",
            "telephone_number": "260-426-3095",
            "fax_number": "260-420-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D TAYLOR OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "260-426-3095",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002045A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Care Family Dentistry
• Gentlemind Health Services
• Gentlemind Skilled Services LLC
• Erin Gentry, PHARM D.
• Zyairah Gentry, RBT
• George R. Cooper
• Evan George
• Jeron George, DO
• Melissa Elaine George, AU.D.
• Richard L George, MD

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.