Individual provider Active NPI

Jay C. Taylor II, O.D.

  • Optometrist
  • Rehoboth Beach, DE
National Provider Identifier
1790771822
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-1234 Issued in DE
Practice address
18979 Coastal Hwy Unit 201
Rehoboth Beach, DE 19971-6222
Phone
(302) 470-9616
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X I3-1234 DE Primary

Addresses

Primary practice location

18979 Coastal Hwy Unit 201
Rehoboth Beach, DE 19971-6222

Mailing address

18979 Coastal Hwy Unit 201
Rehoboth Beach, DE 19971-6222
Phone (302) 470-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110104000742 DE Practitioner - Optometry 9739378969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Eye Care LLCGroup PAC ID 2860899077, 2 clinicians

Practice addresses (Care Compare)

18979 Coastal Hwy
Unit 200
Rehoboth Beach, DE 19971-6222
Phone (302) 470-9616

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-1234DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Eye Care LLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Ocean Eye Care PLLC Optometrist PastSince Sep 23, 2021 Accepting new patients

Locations

18979 Coastal Hwy
Unit 200
Rehoboth Beach, DE 19971
Phone (302) 470-9616

18979 Coastal Hwy
Unit 201
Rehoboth Beach, DE 19971
Phone (302) 470-9616

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1790771822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18979 COASTAL HWY UNIT 201",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716222",
            "telephone_number": "302-470-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18979 COASTAL HWY UNIT 201",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716222",
            "telephone_number": "302-470-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JAY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.