Organization Active NPI

Dr. Donald K Taylor

Doing business as Taylor Optical Company

  • Optometrist
  • Welch, WV
National Provider Identifier
1962578351
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
689-OD Issued in WV
Legal business name
DR. DONALD K TAYLOR
Doing business as
Taylor Optical Company
Practice address
78 McDowell St
Welch, WV 24801-2437
Phone
(304) 436-2880
NPI assigned
Nov 28, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mrs. Jean Aliff
Title
Office Manager
Phone
(304) 325-8685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 689-OD WV Primary

Addresses

Primary practice location

78 McDowell St
Welch, WV 24801-2437

Mailing address

410 Fincastle LN
Bluefield, VA 24605-9243
Phone (276) 326-3762

Other identifiers 8

IdentifierTypeStateIssuer
9280028002MedicaidWV
010049211MedicaidVA
010117135OtherVAVIRGINIA MEDICAID
0150072000MedicaidWV
0150605000MedicaidWV
0451530OtherVAANTHEN BLUE CROSS
009204342MedicaidVA
287817OtherWVMAMSI

Other names 1

  • TAYLOR OPTICAL COMPANY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Donald K Taylor4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

78 McDowell St
Welch, WV 24801
Phone (304) 436-2880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1962578351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FINCASTLE LN",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059243",
            "telephone_number": "276-326-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012437",
            "telephone_number": "304-436-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DONALD K TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ALIFF",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-325-8685",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "689-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280028002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010049211",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAID",
            "identifier": "010117135",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150072000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150605000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEN BLUE CROSS",
            "identifier": "0451530",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204342",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "287817",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAYLOR OPTICAL COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Welch, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.