Taylor, Jared A
Taylor, Jared A is an sole proprietor health care provider with primary practice located at 409 Western Blvd Suite 700, Jacksonville NC 28546-6528. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Taylor, Jared A can be contacted via phone (910) 219-3937.Contact Information
Primary practice address
409 Western Blvd Suite 700
Jacksonville NC 28546-6528
Phone: (910) 219-3937
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1970 | North Carolina |
Profile Details
| NPI number | 1265490619 |
|---|---|
| LBN Legal business name | Taylor, Jared A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 27th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265490619 | NPPES |
| North Carolina | MEDICAID | 89093R2 |
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