Healthcare Provider Details

I. General information

NPI: 1255260444
Provider Name (Legal Business Name): TAYLOR GRACE BOYD OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 POLARIS PKWY
COLUMBUS OH
43240-2037
US

IV. Provider business mailing address

1217 POLARIS PKWY
COLUMBUS OH
43240-2037
US

V. Phone/Fax

Practice location:
  • Phone: 614-810-0519
  • Fax:
Mailing address:
  • Phone: 614-810-0519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007479
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: