DR. TAYLOR E REPKO (NPI# 1861467763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861467763 |
| Entity Type | Individual |
| Full Name | DR. TAYLOR E REPKO |
| Credential | OD |
| Practice Address |
1701 Euclid Ave Ste D Bristol VA 24201-3700 |
| Mailing Address |
241 Gateway Plz Ste 106 Gate City VA 24251-3350 |
| Practice Telephone | 2764664227 |
| Mailing Telephone | 2766902345 |
| Mailing Fax Number | 2766902345 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2014-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0601800559 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 0101355982 | 05 |
| Street Address |
1701 EUCLID AVE STE D |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| 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 |
|---|---|---|---|---|
| 1487710737 | Edward George Turro | Optometrist | 72 Farmington Ave, Bristol, CT 06010-4216 | 2006-12-29 |
| 1831266576 | Helen J Zervas | Optometrist | 780 King St, Bristol, CT 06010-4480 | 2006-11-29 |
| 1689745218 | Parag Kanitkar | Optometrist | 1262 Volunteer Pkwy, Bristol, TN 37620-4628 | 2006-11-13 |
| 1710089651 | James Patrick Callanan | Optometrist | 721 Commonwealth Ave, Bristol, VA 24201-3321 | 2006-09-01 |
| 1700991932 | 20/20 Vision Care, Inc. | Optometrist | 375 Metacom Ave, Bristol, RI 02809-5179 | 2006-08-20 |
| 1184634982 | Rhonda Fletcher Smith | Optometrist | 308 Ridgemont St, Bristol, TN 37620-7132 | 2006-08-08 |
| 1245257153 | Amy Himmelstein | Optometrist | 751 Farmington Ave, Bristol, CT 06010-3900 | 2006-07-16 |
| 1376582155 | William R Shumaker | Optometrist | 321 Midway Medical Park, Bristol, TN 37620-1651 | 2006-06-06 |
| 1144298456 | Michelle Hejny | Optometrist | 500 Gate City Hwy, Space 405, Bristol, VA 24201-2372 | 2006-03-10 |
| 1578543708 | Sidney Lee Shafran | Optometrist | 683 Broad St, Bristol, CT 06010-6662 | 2006-01-23 |
| Find all providers in BRISTOL | ||||
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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.