Organization
DR. DONALD K TAYLOR
Active
Other names
Taylor Optical Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN ALIFF (OFFFICE MANAGER)
(304) 325-8685
Entity
Organization
Contact information
Practice address
868 MERCER ST, PRINCETON, WV 24740-2908
(304) 425-3679
(304) 425-7265
Mailing address
410 FINCASTLE LN, BLUEFIELD, VA 24605-9243
(304) 425-3679
(304) 425-7265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
689-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719832
BLUE CROSS
WV
05
—
009204342
—
VA
05
—
0100049211
—
VA
05
—
010117135
—
VA
05
—
0150072000
—
WV
05
—
0150605000
—
WV
01
—
0451528
ANTHEM BLUE CROSS
VA
01
—
1055543
BRICKSTREET
WV
01
—
287817
MAMSI
WV
05
—
9280028001
—
WV
Enumeration date
11/30/2006
Last updated
10/16/2007
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