Taylor Vision Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TAYLOR VISION CLINIC LLC

Practice address

1010 Highway 12 W
Starkville, MS 39759-9167

Phone

(662) 324-2555

NPI assigned

Feb 14, 2018

Last updated

Feb 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lana Taylor, OD

Title

Optometrist

Phone

(662) 324-2555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1902306210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HIGHWAY 12 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HIGHWAY 12 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397599167",
            "telephone_number": "662-324-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR VISION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-324-2555",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.