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DR. TAYLOR BLADH O.D. INC NPI 1700951217


NPI Information

NPI: 1700951217
Provider Name: DR. TAYLOR BLADH, O.D., INC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 05D2085182

Address:
718 N. DIAMOND BAR BLVD
DIAMOND BAR, CA
ZIP 91765
Phone: (909) 861-3737
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DR. TAYLOR BLADH, O.D., INC is an optometrist in Diamond Bar, CA. The provider is 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. DR. TAYLOR BLADH, O.D., INC NPI is 1700951217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

718 N. DIAMOND BAR BLVD
DIAMOND BAR, CA
ZIP 91765-122
Phone: (909) 861-3737
Fax: (909) 396-7517

The provider's authorized official is Taylor Woodbury Bladh .
The authorized official title is President/ Optometrist and has the following contact phone number (909) 861-3737.

The CLIA number assigned to this NPI record is 05D2085182 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/3/2012.


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
1152W00000XOptometristCALIFORNIAYes

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
1GE873AMEDICARE PINCALIFORNIA
2GSD000650MEDICAIDCALIFORNIA
3WY085MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.