Gregory E. Taylor, O.D.
Individual provider Active NPI Optometrist · Flemingsburg, KY
NPI 1790700755 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790700755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1088DT (KY)
- Practice address
- 104 N Main Cross St
Flemingsburg, KY 41041-1361 - Phone
- (606) 849-2349
- Fax
- (606) 849-2349
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Sherman and Taylor Eye Care, PLLC
Practice addresses (Care Compare)
15 E 3Rd St
Maysville, KY 41056-1148
Phone (606) 564-3650
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100114000496 | KY | Practitioner - Optometry | 8224179114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1088DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman & Taylor Eye Care, PLLC | Optometrist | Current |
Accepting new patients |
| Gregory E. Taylor | Optometrist | Current | Accepting new patients |
| Gregory E. Taylor Dba Eyecare Associates | Optometrist | Current | Accepting new patients |
Locations
114 Clark St
Flemingsburg, KY 41041
104 N Main Cross St
Flemingsburg, KY 41041
Phone (606) 849-2348
15 E 3rd St
Maysville, KY 41056
Phone (606) 564-3650
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1088DT | KY | Yes |
Addresses
Primary practice location
104 N Main Cross St
Flemingsburg, KY 41041-1361
Mailing address
104 N Main Cross St
Flemingsburg, KY 41041-1361
Phone (606) 849-2349
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77010882 | Medicaid | KY |
Other providers in Flemingsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.