Robert W Taylor, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000786 Issued in PA

Practice address

109 Crossroads Rd
Suite 108
Scottdale, PA 15683-2458

Phone

(724) 220-2430

Fax

(724) 220-2431

NPI assigned

Sep 30, 2005

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 PA

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

Illinois College of Optometry at Chicago, 1972

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

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1831186238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 108",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-220-2430",
            "fax_number": "724-220-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CROSSROADS RD",
            "address_2": "SUITE 108",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832458",
            "telephone_number": "724-220-2430",
            "fax_number": "724-220-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "TA000063119",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Stewart, CRNP
• Mary J Stickley, P.T.
• Samantha Swan, CRNP
• Synergy Springs Soul Center (Synergy Springs Soul Center Inc)
• Marjorie Osterwise Tavoularis, MD
• Edward D. Thornblade, DDS
• Lesa Ann Treber, MS/CCC/SLP
• Amy Tressler, MS, CCC/SLP
• Ulery Chiropractic
• Todd Allen Ulery, D.C.

• Optometrist in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.