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TAYLOR CREEK OPTICAL INC NPI 1417006073


NPI Information

NPI: 1417006073
Provider Name: TAYLOR CREEK OPTICAL INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
104 N 2ND ST
FORT PIERCE, FL
ZIP 34950
Phone: (772) 468-0008
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TAYLOR CREEK OPTICAL INC is a durable medical equipment medical supplies in Fort Pierce, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TAYLOR CREEK OPTICAL INC NPI is 1417006073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 N 2ND ST
FORT PIERCE, FL
ZIP 34950
Phone: (772) 468-0008
Fax: (772) 468-6628

The provider's authorized official is William Edward Palmer .
The authorized official title is President and has the following contact phone number (772) 468-0008.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 8/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianDO3798FLORIDANo
2332B00000XDurable Medical Equipment & Medical SuppliesOE480FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FL3798OTHERFLORIDAEYE MED
2D7706OTHERFLORIDABCBS
30855120001OTHERDME SUPPLIER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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