Individual provider Active NPI

Nicholas Matthew Taflan II, O.D.

  • Optometrist
  • Cambridge, OH
National Provider Identifier
1851739783
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6236 Issued in OH
Practice address
1335 Southgate Pkwy
Cambridge, OH 43725-3015
Phone
(740) 439-1098
Fax
(740) 439-3165
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6236 OH Primary

Addresses

Primary practice location

1335 Southgate Pkwy
Cambridge, OH 43725-3015

Mailing address

1335 Southgate Pkwy
Cambridge, OH 43725-3015
Phone (740) 439-1098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20130829000792 OH Practitioner - Optometry 9133362742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambridge Family Eye Care IncGroup PAC ID 7416981162, 2 clinicians

Practice addresses (Care Compare)

1335 Southgate Pkwy
Cambridge, OH 43725-3015
Phone (740) 439-1098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6236OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Family Eye Care Inc Optometrist CurrentSince Jun 1, 2013 Accepting new patients

Locations

1335 Southgate Pkwy
Cambridge, OH 43725
Phone (614) 439-1098

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1851739783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 SOUTHGATE PKWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253015",
            "telephone_number": "740-439-1098",
            "fax_number": "740-439-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 SOUTHGATE PKWY",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437253015",
            "telephone_number": "740-439-1098",
            "fax_number": "740-439-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFLAN",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.