Keith E. Taylor, O.D.

LBN: Keith E. Taylor, O.D.
Keith E. Taylor, O.D. is an health care organization with primary practice located at 166 Atlantic Ave , Marblehead MA 01945-2911. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Keith E. Taylor, O.D. can be contacted via phone (781) 631-2182, or through Taylor, Keith via phone (781) 631-2182.

Contact Information

Primary practice address
166 Atlantic Ave Marblehead MA 01945-2911
Phone: (781) 631-2182
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Keith Doctor of Optometry (OD)
Phone: (781) 631-2182

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X

Profile Details

NPI number 1174928311
LBN Legal business name Keith E. Taylor, O.D.
DBA Doing business as
Authorized official Taylor, Keith Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2014
Last updated Oct 30th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174928311 NPPES
Massachusetts MEDICAID 0348988

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