Active NPI
Yolanda Taylor-Rose, O.D.
- Optometrist
- Selma, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-A03-TA-575
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000046510 | Medicaid | AL | |
| S-A03TA575 | Other | AL | LICENSE NUMBER |
| 51504510 | Other | AL | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| S-A03-TA-575 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Eye Associates Prattville LLC | Optometrist | Current | Accepting new patients |
| Premier Eye Associates, LLC | Optometrist | Current | Accepting new patients |
| Premier Eye Associates Opelika LLC | Optometrist | Current | 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.
-
- Optometrist
- Prattville, AL
- NPI 1497559298
-
dba Premier Eye Associates
- Optometrist
- Opelika, AL
- NPI 1992432728
-
- Optometrist
- Auburn, AL
- NPI 1558937623
-
dba Eyemax Vision Center
- Optometrist
- Thomasville, AL
- NPI 1891841599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.