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Contact Information

KEITH E. TAYLOR, O.D.
166 ATLANTIC AVE
MARBLEHEAD, MA01945-2911
 Phone: 781-631-2182
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEITH E. TAYLOR, O.D.

NPI Number 1174928311
LBN Legal business name KEITH E. TAYLOR, O.D.
Authorized official KEITH TAYLOR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2014
Last updated 10/30/2014 - About 12 years ago
Identifiers
MA Medicaid 0348988
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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