Individual provider Active NPI

Donald Raymond Taylor, O.D.

  • Optometrist
  • Wheeling, WV
National Provider Identifier
1932183175
Registry record updated Aug 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
594OD Issued in WV
Practice address
2106 Lumber Ave
Wheeling, WV 26003-5390
Phone
(304) 242-5544
Fax
(304) 242-2560
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 594OD WV Primary

Addresses

Primary practice location

2106 Lumber Ave
Wheeling, WV 26003-5390

Mailing address

2106 Lumber Ave
Wheeling, WV 26003-5390
Phone (304) 242-5544

Other identifiers 1

IdentifierTypeStateIssuer
0149809000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
594ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pockl-Dormas PC Optometrist CurrentSince Oct 1, 1995 Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients
The Seeing Hand Association, Inc. Past Accepting new patients
M F Anwar MD Inc Optometrist Past Accepting new patients

Locations

2106 Lumber Ave
Wheeling, WV 26003
Phone (304) 242-5544

Organizations & group practices 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219449600000",
    "number": "1932183175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 LUMBER AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035390",
            "telephone_number": "304-242-5544",
            "fax_number": "304-242-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LUMBER AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035390",
            "telephone_number": "304-242-5544",
            "fax_number": "304-242-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DONALD",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "594OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149809000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2008; 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.