Individual provider Active NPI

Taylor Dalton, OD

  • Optometrist
  • Richmond, VA
National Provider Identifier
1861052276
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002791 Issued in VA
Practice address
5419 Patterson Ave
Richmond, VA 23226-2003
Phone
(804) 285-7638
Fax
(804) 285-2107
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002791 VA Primary

Addresses

Primary practice location

5419 Patterson Ave
Richmond, VA 23226-2003

Mailing address

5419 Patterson Ave
Richmond, VA 23226-2003
Phone (804) 285-7638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190812001780 VA Practitioner - Optometry 6204163439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patterson Eye Clinic Optometrists PCGroup PAC ID 7416074265, 6 clinicians

Practice addresses (Care Compare)

5419 Patterson Ave
Richmond, VA 23226-2003
Phone (804) 285-7638

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patterson Eye Clinic Optometrists PC Optometrist CurrentSince Jun 8, 2019 Accepting new patients

Locations

5419 Patterson Ave
Richmond, VA 23226
Phone (804) 285-7638

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1861052276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262003",
            "telephone_number": "804-285-7638",
            "fax_number": "804-285-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262003",
            "telephone_number": "804-285-7638",
            "fax_number": "804-285-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.