Individual provider Active NPI

Anna Pope Taylor, O.D.

  • Optometrist
  • Brandon, MS
National Provider Identifier
1912112780
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
747 Issued in MS
Practice address
2155 Highway 18 Ste D
Brandon, MS 39042-2774
Phone
(601) 706-4752
Fax
(601) 510-9394
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 747 MS Primary

Addresses

Primary practice location

2155 Highway 18 Ste D
Brandon, MS 39042-2774

Mailing address

315 Crossgates Blvd
Ste G
Brandon, MS 39042-2615
Phone (601) 951-0472

Other names 1

  • Anna Loflin Pope Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20101208000781 MS Practitioner - Optometry 3577750165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Eyecare, Inc.Group PAC ID 1557542990, 2 clinicians

Practice addresses (Care Compare)

315 Crossgates Blvd
Suite G
Brandon, MS 39042-2615
Phone (601) 706-4752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
747MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Eyecare, Inc. Optometrist CurrentSince Jul 1, 2005 Accepting new patients

Locations

315 Crossgates Blvd
Ste G
Brandon, MS 39042
Phone (601) 706-4752

2155 Highway 18
Ste D
Brandon, MS 39042
Phone (601) 706-4752

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1912112780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CROSSGATES BLVD",
            "address_2": "STE G",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422615",
            "telephone_number": "601-951-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 HIGHWAY 18 STE D",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422774",
            "telephone_number": "601-706-4752",
            "fax_number": "601-510-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANNA",
        "middle_name": "POPE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "POPE",
            "middle_name": "LOFLIN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brandon, MS

Sources for this page

Verify at the official NPI Registry.