John W Taylor OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002876 Issued in MI

Legal business name

JOHN W TAYLOR OD PC

Practice address

59 Barry St
Hillsdale, MI 49242-1809

Phone

(517) 437-4300

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W TaylorNPI 1891809356

Title

Owner

Phone

(517) 437-4300

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Taylor, OD

  • Optometrist
  • Hillsdale, MI
  • NPI 1891809356
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1811182017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BARRY ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BARRY ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421809",
            "telephone_number": "517-437-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W TAYLOR OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-437-4300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4583930",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C00026",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPSM",
            "identifier": "200000005009",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith A Jameson, D.D.S.
• Penny Elaine Jansen, L.M.S.W.
• Ted Nicholas Jansen, M.A.
• Alex J Janusz, D.O.
• Ashton Leigh Jensen
• Charles Curtis Johnston, MD
• Jon C. Herbener, M.D.,P.C.
• Karen Lindower DO PLLC
• Jeffrey Allen Kauffman, RPH.
• Reggie Robert Kehoe, OTD, OTR/L

• Optometrist in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.