Healthcare Provider Details

I. General information

NPI: 1851211585
Provider Name (Legal Business Name): LYNDSAY TAYLOR MICHAEL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 E BROAD ST STE A
PATASKALA OH
43062-7573
US

IV. Provider business mailing address

6075 MAPLETON DR
NEW ALBANY OH
43054-8113
US

V. Phone/Fax

Practice location:
  • Phone: 740-927-3061
  • Fax:
Mailing address:
  • Phone: 740-927-3061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007526
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: