Clint T Taylor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009761 Issued in IL

Practice address

1684 Falcon Ave
Carmi, IL 62821-1370

Phone

(618) 382-4683

Fax

(618) 382-4684

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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 IL

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

Indiana University - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.04 of 100Reported as individual

Quality

62.08

Improvement activities

40

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.

• Clint T Taylor OD LLC

  • Optometrist
  • Carmi, IL
  • NPI 1245410281
  Medicare reassignment NPD Authorized official
• Eubanks & Daugherty, LLC

  • Optometrist
  • Harrisburg, IL
  • NPI 1902130354
  NPD (past)
• Gregg Eubanks OD

  • Optometrist
  • Harrisburg, IL
  • NPI 1851305593
  NPD (past)
• Talley Medical-Surgical Eye Care Associates PC

  dba Talley Eye Institute

  • Ophthalmology Physician
  • Evansville, IN
  • NPI 1154319143

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1811931769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 FALCON AVE",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211370",
            "telephone_number": "618-382-4683",
            "fax_number": "618-382-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 FALCON AVE",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211370",
            "telephone_number": "618-382-4683",
            "fax_number": "618-382-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CLINT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203086173-62821-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Stanley, PT
• Candice N Stocke
• Jesica Stratton, RN
• Erin Street, LPTA
• David J Stricklin, MD
• Kathy Lynn Taylor, MSN-FNP
• The Doctors Clinic
• Therapeutic Solutions PC
• Patricia Danielle Trout, CCC-SLP
• Lucretia Drew Vaupel

• Optometrist in Carmi, IL
• Providers in Carmi, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.