JACQUELINE ELAINE TAYLOR (NPI# 1962927764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962927764 |
| Entity Type | Individual |
| Full Name | JACQUELINE ELAINE TAYLOR |
| Credential | OD |
| Practice Address |
22 N Jackson St Belleville IL 62220-1425 |
| Practice Telephone | (618) 233-1270 |
| Practice Fax Number | 6182335939 |
| Mailing Telephone | 6182331270 |
| Mailing Fax Number | 6182335939 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 064011144 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191944 | Jacqueline Taylor | Community Health Worker | 700 W Judge Perez Dr Ste 204, Chalmette, LA 70043-4872 | 2018-07-24 |
| 1114424272 | Jacqueline Marie Taylor | Counselor | 1769 E Moody Blvd, Bunnell, FL 32110-6355 | 2018-04-06 |
| 1841413648 | Jacqueline M Taylor | Social Worker | 5720 Nw 81st Ave, Tamarac, FL 33321-4525 | 2007-04-10 |
| 1972586113 | Jacqueline L Taylor | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2005-11-22 |
| 1053951624 | Jacqueline Taylor | Residential Treatment Facility, Emotionally Disturbed Children | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-01-13 |
| 1902441827 | Jacqueline Taylor | Nurse Practitioner | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2019-11-14 |
| 1932670858 | Jacqueline Taylor | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2018-12-17 |
| 1053813691 | Jacqueline Taylor | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-02-28 |
| 1174049894 | Jacqueline Michele Taylor | Social Worker | 24600 Northwestern Hwy, Southfield, MI 48075-2471 | 2017-08-15 |
| 1780034967 | Jacqueline Taylor | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-06-17 |
| Street Address |
22 N JACKSON ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601001 | Kirsten Klauss Reynolds | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2005-07-05 |
| 1811088404 | Innovative Eye Care Solutions, Ltd. | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2006-09-27 |
| 1699763458 | William Vernon Ritzel | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| 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 |
|---|---|---|---|---|
| 1912410390 | Advanced Vision Care LLC | Optometrist | 3540 N Belt W Ste C, Belleville, IL 62226-5975 | 2017-11-08 |
| 1235547209 | Kyle Bensinger | Optometrist | 5 Franklin Ave 209, Belleville, NJ 07109-3504 | 2014-07-23 |
| 1013243666 | Family Eye Care of Belleville Inc | Optometrist | 1704 M St, Belleville, KS 66935 | 2009-11-02 |
| 1649405218 | Brett Alan Sobieralski | Optometrist | 2525 Green Mount Commons Dr, Ste 290, Belleville, IL 62221-6724 | 2009-05-26 |
| 1568617967 | David Cue Wiegman | Optometrist | 5650 Belleville Crossing St, Belleville, IL 62226 | 2008-11-26 |
| 1124214051 | Clarkson Optometry Illinois PC | Optometrist | 2525 Green Mount Crossing Dr., Suite 290, Belleville, IL 62221-6735 | 2007-09-25 |
| 1669592440 | Craig A Sieron | Optometrist | 5308 West Main St., Belleville, IL 62226 | 2007-03-29 |
| 1235254285 | Michael Sandles | Optometrist | 10788 Belleville Rd, Belleville, MI 48111-1308 | 2007-03-20 |
| 1053462275 | Thomas Francis Dorrity Jr. | Optometrist | 500 Washington Ave, Belleville, NJ 07109-3392 | 2007-01-15 |
| 1932207073 | Eyecare of Illinois Ltd | Optometrist | 5308 West Main St, Belleville, IL 62226 | 2006-09-20 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.