Mark David Taylor, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

R-229-TA-987 Issued in AL

Practice address

24833 John T Reid Pkwy
Scottsboro, AL 35768-2342

Phone

(256) 574-5698

NPI assigned

Jul 29, 2009

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 AL

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

Specialty

Optometry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Alabama Eye Care P.C.

  • Medical Specialty Clinic/Center
  • Scottsboro, AL
  • NPI 1871031948

  AL

  Medicare reassignment NPD Authorized official
• Eye Health Partners of Alabama Inc

  • Optometrist
  • Birmingham, AL
  • NPI 1619923745
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1801027552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CORRINE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589777",
            "telephone_number": "256-679-8970",
            "fax_number": "256-382-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24833 JOHN T REID PKWY",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682342",
            "telephone_number": "256-574-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14595 Highway 231 431 N",
            "address_purpose": "LOCATION",
            "city": "Hazel Green",
            "state": "AL",
            "postal_code": "357509403",
            "country_code": "US",
            "telephone_number": "256-828-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-229-TA-987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171716",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Harris Stone, CRNP
• Sunny Horizons, LLC
• Sebastian C Tapia, M.D.
• Debra Taylor, C.R.N.P.
• James Phillip Taylor, ATC/L
• Megan Teel, PHARMD
• The Arc of Jackson County
• Therapy Unlimited Inc
• Therapy Unlimited, Inc
• Therapy Unlimited, Inc

• Optometrist in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; 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.