Individual provider Active NPI

Yolanda Taylor-Rose, O.D.

  • Optometrist
  • Selma, AL
National Provider Identifier
1750498457
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-A03-TA-575 Issued in AL
Practice address
2401 Medical Center Pkwy
Selma, AL 36701-7756
Phone
(334) 872-2321
Fax
(334) 872-2391
NPI assigned
Aug 25, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-A03-TA-575 AL Primary

Addresses

Primary practice location

2401 Medical Center Pkwy
Selma, AL 36701-7756

Mailing address

PO Box 650
Selma, AL 36702-0650
Phone (334) 872-2321

Other identifiers 3

IdentifierTypeStateIssuer
0000046510MedicaidAL
S-A03TA575OtherALLICENSE NUMBER
51504510OtherALBLUE AND CROSS SHEILD NUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250116001684 AL Practitioner - Optometry 8426586546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Associates Prattville LLCGroup PAC ID 8527574524, 2 clinicians

Practice addresses (Care Compare)

508 McQueen Smith Rd S
Prattville, AL 36066-5713
Phone (334) 203-7933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S-A03-TA-575ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Associates Prattville LLC Optometrist CurrentSince Jul 21, 2025 Accepting new patients
Premier Eye Associates, LLC Optometrist CurrentSince Nov 18, 2024 Accepting new patients
Premier Eye Associates Opelika LLC Optometrist CurrentSince Nov 18, 2024 Accepting new patients
Selma Family Practice Optometry, Inc. Optometrist Past Accepting new patients

Locations

2900 E University Dr
Auburn, AL 36830
Phone (334) 502-2416

2900 E University Dr
Ste 110
Auburn, AL 36830
Phone (334) 502-2440

2801 Frederick Rd
Opelika, AL 36801
Phone (334) 679-1183

508 McQueen Smith Rd S
Prattville, AL 36066
Phone (334) 203-7933

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750498457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367020650",
            "telephone_number": "334-872-2321",
            "fax_number": "334-872-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367017756",
            "telephone_number": "334-872-2321",
            "fax_number": "334-872-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-ROSE",
        "first_name": "YOLANDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-A03-TA-575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000046510",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "S-A03TA575",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE AND CROSS SHEILD NUM",
            "identifier": "51504510",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.