Individual provider Active NPI

Taylor Brigham, OD

  • Optometrist
  • Dublin, GA
National Provider Identifier
1902336654
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003023 Issued in GA
Practice address
2032 Veterans Blvd
Dublin, GA 31021-3042
Phone
(478) 272-3445
NPI assigned
Jun 15, 2017
Last updated
Mar 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3382 TN
Optometrist 152W00000X OPT003023 GA Primary

Addresses

Primary practice location

2032 Veterans Blvd
Dublin, GA 31021-3042

Mailing address

2032 Veterans Blvd
Dublin, GA 31021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20171206003252 GA Practitioner - Optometry 3971860537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gayton Health Centre PCGroup PAC ID 9830142710, 13 clinicians

Practice addresses (Care Compare)

216 Corder Rd
Warner Robins, GA 31088-3604
Phone (478) 923-5872

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100Reported as group
Quality
90.67
Improvement activities
40
Cost
79.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3382TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Oct 8, 2017 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia LLC Optometrist CurrentSince Oct 8, 2017 Accepting new patients
Gayton Health Centre, PC Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Gayton Health Centre, PC Past Accepting new patients

Locations

131 Highway 32 Byp
Alma, GA 31510
Phone (912) 632-7623

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

112 Mall Rd
Dublin, GA 31021
Phone (478) 353-8500

117 W Jackson St
Dublin, GA 31021

2032 Veterans Blvd
Dublin, GA 31021
Phone (478) 272-3445

440 Taylors Mill Rd
Fort Valley, GA 31030
Phone (478) 825-8223

856 1st St
Macon, GA 31201
Phone (478) 741-1740

312 Redfern Vlg
St Simons Island, GA 31522
Phone (912) 638-8652

312 Redfern Vlg
#2522
St Simons Island, GA 31522

700 Maple Dr
Vidalia, GA 30474
Phone (912) 537-1991

100 Spillers Way
Warner Robins, GA 31088

216 Corder Rd
Warner Robins, GA 31088
Phone (912) 923-5872

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: tpbrigham@eyesightassoc.direct.eyemdemr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1902336654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213042",
            "telephone_number": "478-272-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHAM",
        "first_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3382",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.