Keith E Taylor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

MA2954 Issued in MA

Practice address

166 Atlantic Avenue
Marblehead, MA 01945

Phone

(781) 631-2182

Fax

(781) 631-2142

NPI assigned

Mar 1, 2006

Last updated

Jul 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 MA2 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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Keith E. Taylor, O.D.

  • Optometrist
  • Marblehead, MA
  • NPI 1174928311

  O20100930100128

  Same enrollment

Specialty

Optometry

Education

New England College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Keith E. Taylor, O.D.

  • Optometrist
  • Marblehead, MA
  • NPI 1174928311
  Authorized official Same address or phone

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1780651406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 ATLANTIC AVENUE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "781-631-2182",
            "fax_number": "781-631-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 ATLANTIC AVENUE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "781-631-2182",
            "fax_number": "781-631-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA2954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0348988",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stride Physical Therapy and Wellness
• Christine Sullivan, LCSW
• Susan Blatt Summers, MS, CCC-SLP
• Laurie Anne Tague, MFT
• David S Tamaren, M.D.
• Sara Beth Thatcher, PT
• The Power of Speech, Inc.
• Timothy J Curtin DMD PC (Marblehead Smile Design and Family Dental)
• Charles William Tirrell Jr., LICSW
• Janet C. Todaro

• Optometrist in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.