Individual
JEFFREY LANE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4295 E US HIGHWAY 64 ALT, MURPHY, NC 28906-6846
(828) 837-1000
(828) 837-1100
Mailing address
4295 E US HIGHWAY 64 ALT, MURPHY, NC 28906-6846
(828) 837-1000
(828) 837-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1607
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410040699
RAILROAD MEDICARE
NC
05
—
8909838
—
NC
Enumeration date
08/11/2005
Last updated
12/21/2023
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