Individual provider Active NPI

Taylor Bowman, OD

  • Optometrist
  • Cheyenne, WY
National Provider Identifier
1760903520
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
421T Issued in WY
Practice address
1300 E 20TH St
Cheyenne, WY 82001-4021
Phone
(307) 634-2020
Fax
(307) 635-6510
NPI assigned
Jul 3, 2017
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OED003273 PA
Optometrist 152W00000X 421T WY Primary

Addresses

Primary practice location

1300 E 20TH St
Cheyenne, WY 82001-4021

Mailing address

7 Timothy Rd
Wyoming, PA 18644-9202
Phone (570) 690-3523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240103004652 CO Practitioner - Optometry 1557617339 Reassigns benefits to 1 organization
I20251113000583 TX Practitioner - Optometry 1557617339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Tribal Chairmen's Health BoardGroup PAC ID 0648609917, 64 clinicians

Practice addresses (Care Compare)

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone 60535525002356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OED003273PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Tribal Chairmen's Health Board CurrentSince Sep 4, 2025 Accepting new patients
Eye Care Center of Northern Colorado, PC CurrentSince Dec 1, 2023 Accepting new patients

Locations

300 Exempla Cir
Ste 120
Lafayette, CO 80026
Phone (303) 665-8766

1400 Dry Creek Dr
Longmont, CO 80503
Phone (303) 682-3383

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

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, 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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1760903520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TIMOTHY RD",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186449202",
            "telephone_number": "570-690-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 20TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014021",
            "telephone_number": "307-634-2020",
            "fax_number": "307-635-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OED003273",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "421T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.