MEDICARE: TAYLOR MURDOCH OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2026026252	MO

General Provider Information

NPI Number	:	1316872096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR MURDOCH OD

Provider Business Mailing Address
First Line	:	16255 NW 130TH ST
Second Line	:
City	:	PLATTE CITY
State	:	MO
Zip	:	64079-7238
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4367 N CHOUTEAU TRFY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64117-1743
Country	:	US
Telephone Number	:	816-788-7584
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ TAYLOR MURDOCH OD” Practice Location

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