DR. TAYLOR WOODBURY BLADH (O.D.) – Optometrist, NPI 1467527028

DR. TAYLOR WOODBURY BLADH (O.D.) is a healthcare provider. based in Costa mesa, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT8921TPA (CA). The NPI Number for DR. TAYLOR WOODBURY BLADH (O.D.) is 1467527028

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAYLOR WOODBURY BLADH (O.D.)
NPI
1467527028
Phone
(949) 642-2020
Address
1796 Newport Blvd
Enumeration Date
21 November 2006
Last Update Date
10 April 2019

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
9098613737
Graduation Year
1986 (40 years ago)
PAC ID
2365489929
Group Practice PAC ID
9234472242
Professional Enrollment ID
I20050503000462
Address ID
CA917651038DI718XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. TAYLOR WOODBURY BLADH (O.D.)

  • 1796 Newport Blvd

    Costa Mesa, CA 926272756

    Phone: (949) 642-2020

    Type: Location

  • 718, North Diamond Bar Boulevard, Diamond Bar, Los Angeles County, California, 91765, United States

    DIAMOND BAR, CA 917654122

    Phone: (909) 861-3737

    Fax: (909) 396-7517

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $2,494.

Total Amount is formed as General ($2,494) + Research ($0) + Ownership ($0) = $2,494.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Alcon Vision LLC ($1,495).

Total Amount

$2,494

General + Research + Ownership

Payments

28

Total payment records

General Amount

$2,494

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050503000462IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system2525$0
99213Established patient office or other outpatient visit, 20-29 minutes2219$0
View full utilization report →

Insurance plans in this area (ZIP 92627)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234472242View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
-CA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
-CA
O P T O M E T R YMA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What is DR. TAYLOR WOODBURY BLADH (O.D.)'s NPI number?
DR. TAYLOR WOODBURY BLADH (O.D.)'s NPI is 1467527028 — the number used across U.S. healthcare to identify this provider.
Is DR. TAYLOR WOODBURY BLADH (O.D.) shown as active in public data?
Registry records indicate DR. TAYLOR WOODBURY BLADH (O.D.) maintains an active NPI.
What expertise is attributed to DR. TAYLOR WOODBURY BLADH (O.D.)?
DR. TAYLOR WOODBURY BLADH (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TAYLOR WOODBURY BLADH (O.D.)?
Travel planning: use Costa Mesa, California as the reference point for DR. TAYLOR WOODBURY BLADH (O.D.), then confirm.
Can I trust this NPI listing for DR. TAYLOR WOODBURY BLADH (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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