Organization
DR. DONALD K TAYLOR
Active
Other names
TAYLOR OPTICAL COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN ALIFF (OFFICE MANAGER)
(304) 325-8685
Entity
Organization
Contact information
Practice address
78 MCDOWELL ST, WELCH, WV 24801-2437
(304) 436-2880
Mailing address
410 FINCASTLE LN, BLUEFIELD, VA 24605-9243
(276) 326-3762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
689-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009204342
—
VA
05
—
010049211
—
VA
01
—
010117135
VIRGINIA MEDICAID
VA
05
—
0150072000
—
WV
05
—
0150605000
—
WV
01
—
0451530
ANTHEN BLUE CROSS
VA
01
—
287817
MAMSI
WV
05
—
9280028002
—
WV
Enumeration date
11/28/2006
Last updated
10/16/2007
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