MEDICARE: JEFFREY LANE TAYLOR 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	1607	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	410040699	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427050210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY LANE TAYLOR OD

Provider Business Mailing Address
First Line	:	4295 E US HIGHWAY 64 ALT
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-6846
Country	:	US
Telephone Number	:	828-837-1000
Fax Number	:	828-837-1100

Provider Business Practice Location Address
First Line	:	4295 E US HIGHWAY 64 ALT
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-6846
Country	:	US
Telephone Number	:	828-837-1000
Fax Number	:	828-837-1100

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	12/21/2023

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Directions to “ JEFFREY LANE TAYLOR OD” Practice Location

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