Individual provider Active NPI

Kathryn Lynn Taylor, OD

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1851993299
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002955 Issued in VA
Practice address
701 Lynnhaven Pkwy Ste 1189
Virginia Beach, VA 23452-7228
Phone
(757) 463-2136
Fax
(757) 463-8917
NPI assigned
Nov 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002955 VA Primary

Addresses

Primary practice location

701 Lynnhaven Pkwy Ste 1189
Virginia Beach, VA 23452-7228

Mailing address

1217 Princess Anne Rd
Virginia Beach, VA 23457-1590
Phone (757) 343-7179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210722001378 VA Practitioner - Optometry 4183027568 Reassigns benefits to 1 organization
I20230503002100 VA Practitioner - Ophthalmology 4183027568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Eye Care IncGroup PAC ID 8921064460, 14 clinicians

Practice addresses (Care Compare)

2173 Upton Dr
Suite 601
Virginia Beach, VA 23454-1288
Phone (757) 351-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
49.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Eyecare, P.C. Optometrist CurrentSince Apr 16, 2021 Accepting new patients
Beach Eye Care, Inc. Optometrist CurrentSince Jan 16, 2023 Accepting new patients
Insight Optometrist, P.C. Optometrist PastSince Nov 15, 2020 Accepting new patients

Locations

325 Volvo Pkwy
Ste 120
Chesapeake, VA 23320

1501 Cedar Rd
Unit 113
Chesapeake, VA 23322
Phone (757) 425-5550

1201 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 425-5550

2173 Upton Dr
Virginia Beach, VA 23454

2173 Upton Dr
Ste 601
Virginia Beach, VA 23454
Phone (757) 351-2020

5386 Kempsriver Dr
Ste 101
Virginia Beach, VA 23464
Phone (757) 420-2001

889 S Lynnhaven Rd
Virginia Beach, VA 23452
Phone (757) 463-2136

701 Lynnhaven Pkwy
Ste 1189
Virginia Beach, VA 23452
Phone (757) 463-2136

Organizations & group practices 3

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1851993299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 PRINCESS ANNE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234571590",
            "telephone_number": "757-343-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LYNNHAVEN PKWY STE 1189",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527228",
            "telephone_number": "757-463-2136",
            "fax_number": "757-463-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.