Active NPI
Aaron Taylor, OD
- Optometrist
- Ammon, ID
National Provider Identifier
1821852021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100650
- Practice address
- 3421 South 25TH Street East
Ammon, ID 83406 - Phone
- (986) 497-6251
- NPI assigned
- Feb 8, 2024
- Last updated
- Feb 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100650 | ID | Primary |
Addresses
Primary practice location
3421 South 25TH Street East
Ammon, ID 83406
Mailing address
3421 South 25TH Street East
Ammon, ID 83406
Phone (986) 497-6251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100650 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
3421 S 25th E
Ammon, ID 83406
Phone (986) 497-6251
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1821852021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 SOUTH 25TH STREET EAST",
"city": "AMMON",
"state": "ID",
"postal_code": "83406",
"telephone_number": "986-497-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 SOUTH 25TH STREET EAST",
"city": "AMMON",
"state": "ID",
"postal_code": "83406",
"telephone_number": "986-497-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "AARON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-08",
"last_updated": "2024-02-08",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.