BRADLEY JOEL TAYLOR (NPI# 1508360553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508360553 |
| Entity Type | Individual |
| Full Name | BRADLEY JOEL TAYLOR |
| Practice Address |
1100 N College Ave Fayetteville AR 72703 |
| Mailing Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Practice Telephone | 4794445093 |
| Practice Fax Number | 4795876105 |
| Mailing Telephone | 4794445093 |
| Mailing Fax Number | 4795876105 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2785 | AR | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 3010 | OK | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528247 | Bradley Taylor | Student in an Organized Health Care Education/Training Program | 808 Carter St Se, Ardmore, OK 73401-8524 | 2020-11-04 |
| 1609363126 | Bradley R Taylor Sr. | Counselor | 2697 International Pkwy Ste 104-1, Virginia Beach, VA 23452-7805 | 2018-04-19 |
| 1508388240 | Bradley Neal Taylor | Nurse Practitioner | 1893 Kingsley Ave Ste C&d, Orange Park, FL 32073-4491 | 2017-07-14 |
| 1437548377 | Bradley Taylor | Nurse Anesthetist, Certified Registered | 1321 Mission Creek Dr, Longview, TX 75601-8604 | 2015-01-15 |
| 1639376239 | Bradley Alan Taylor | Dentist | 2517 Burns Rd, Palm Beach Gardens, FL 33410-5204 | 2007-06-28 |
| 1417070368 | Bradley E Taylor | Specialist/Technologist | 1 Neumann Dr, Aston, PA 19014-1277 | 2007-04-07 |
| 1922529080 | Bradley Shane Taylor | Nurse Practitioner | 4645 Village Square Dr Ste C, Paducah, KY 42001-7448 | 2017-06-29 |
| 1194262675 | Bradley Taylor | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106 | 2017-01-23 |
| 1013328632 | Bradley Taylor | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-05-16 |
| 1023338241 | Bradley Michael Taylor | General Practice | 4755 Pasture Rd Bldg 299, Naval Branch Clinic Fallon, Fallon, NV 89496-0001 | 2010-06-10 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1679103220 | Atl Optical LLC | Optometrist | 1135 Highway 85 N Ste D, Fayetteville, GA 30214-2085 | 2020-01-23 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1922515808 | Focused Family Eye Care, Pllc | Optometrist | 3730 N Vantage Dr, Fayetteville, AR 72703-5442 | 2018-01-02 |
| 1952829186 | Davis Eye Associates Inc. | Optometrist | 2901 E Zion Rd Ste 13, Fayetteville, AR 72703-5070 | 2017-09-08 |
| 1427405133 | National Eye Care, Inc | Optometrist | 5160 Kinloch Circle, Fayetteville, NY 13066 | 2016-05-23 |
| 1356730493 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 326 Glensford Dr, Suite 108, Fayetteville, NC 28314 | 2015-01-13 |
| 1013314608 | Ashley Ballard | Optometrist | 326 Glensford Dr Ste 108, Fayetteville, NC 28314-3219 | 2014-11-25 |
| 1891108924 | Focus Vision Optometric Care, Pllc | Optometrist | 1594 Skibo Rd, Fayetteville, NC 28303-3478 | 2014-06-06 |
| 1336488204 | Northwest Vision Group | Optometrist | 3215 E Summershade Dr, Fayetteville, AR 72703-4375 | 2013-02-12 |
| 1912257247 | Zachary Robert Engle | Optometrist | 419 Cross Creek Mall, Ste 302, Fayetteville, NC 28303-7285 | 2012-09-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.