Organization Name: | KEITH E. TAYLOR, O.D. |
NPI Number: | 1174928311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEITH TAYLOR (OWNER) |
Mailing Address: | 166 Atlantic Ave Marblehead |
State: | MA US |
Postal Code: | 019452911 |
Phone Number: | 7816312182 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |