Healthcare Provider Details

I. General information

NPI: 1831018530
Provider Name (Legal Business Name): MADISON TAYLOR MCBRIDE OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MADISON TAYLOR ESCHAN

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 COMMERCE ST
WEST POINT MS
39773-7543
US

IV. Provider business mailing address

529 COMMERCE ST
WEST POINT MS
39773-7543
US

V. Phone/Fax

Practice location:
  • Phone: 662-494-5984
  • Fax:
Mailing address:
  • Phone: 662-494-5984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1134
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: