DR. CLINT T TAYLOR (NPI# 1811931769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811931769 |
| Entity Type | Individual |
| Full Name | DR. CLINT T TAYLOR |
| Credential | OD |
| Practice Address |
304 S Church St Carmi IL 62821-1604 |
| Practice Telephone | 6183824683 |
| Practice Fax Number | 6183824684 |
| Mailing Telephone | 6183824683 |
| Mailing Fax Number | 6183824684 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-009761 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 203086173-62821-01 | 05 |
| Street Address |
304 S CHURCH ST |
| City | CARMI |
| State | IL |
| Zip Code | 62821-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245410281 | Clint T Taylor Od LLC | Optometrist | 304 S Church St, Carmi, IL 62821-1604 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
| 1629580790 | Patricia Danielle Trout | Speech-Language Pathologist | 113 10th St., Carmi, IL 62821 | 2017-10-30 |
| 1851841159 | Rhonda Lenkaitis | Pharmacist | 1344 Il Hwy 1, Carmi, IL 62821 | 2016-10-11 |
| 1467884577 | Leevi Burnett | Physical Therapy Assistant | 216 College Blvd., Carmi, IL 62821 | 2013-07-31 |
| 1760731145 | Katie Beth Rowland | Occupational Therapist | Joyner Therapy Services, 108 April Avenue, Carmi, IL 62821 | 2012-08-31 |
| 1184952814 | James A Burzynski | Speech-Language Pathologist | Wabash Christian Retirement Center, 216 College Blvd, Carmi, IL 62821 | 2009-11-18 |
| 1609942317 | Robert Raymond Dolan | Dentist | 314 East Robinson Street, Carmi, IL 62821 | 2006-11-27 |
| 1710063292 | Zahid Saqib | Family Medicine | 402 S Plum, Carmi, IL 62821 | 2006-10-27 |
| 1356422844 | Wal-mart Stores, Inc | Technician/Technologist | 1344 Illinois Hwy #1, Carmi, IL 62821 | 2006-10-18 |
| 1710905229 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1344 Il Highway 1, Carmi, IL 62821 | 2006-07-17 |
| Find all providers in zip 62821 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068259 | Lars A Gentry | Optometrist | 1207 W Main St, Carmi, IL 62821-1388 | 2005-10-25 |
| 1467927392 | Nicole Hanish | Optometrist | 1201 W Main St, Carmi, IL 62821-1388 | 2018-10-08 |
| 1245410281 | Clint T Taylor Od LLC | Optometrist | 304 S Church St, Carmi, IL 62821-1604 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.