SAMANTHA TAYLOR (OD) – Optometrist, NPI 1679310445

SAMANTHA TAYLOR (OD) is a healthcare provider. based in Fort myers, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC6525 (FL). The NPI Number for SAMANTHA TAYLOR (OD) is 1679310445

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA TAYLOR (OD)
NPI
1679310445
Phone
(941) 792-2020
Address
4101 Evans Ave
Enumeration Date
10 July 2024
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417922020
Graduation Year
2024 (2 years ago)
PAC ID
1759828064
Group Practice PAC ID
4688664535
Professional Enrollment ID
I20240805002262
Address ID
FL342921661VE1550XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for SAMANTHA TAYLOR (OD)

  • 4101 Evans Ave

    Fort Myers, FL 339019310

    Phone: (941) 792-2020

    Type: Location

  • 2203 61st St W

    Bradenton, FL 342095528

    Phone: (941) 792-2020

    Type: Location

  • PO BOX 162264

    ALTAMONTE SPRINGS, FL 327162264

    Phone: (941) 792-2020

    Type: Mailing

  • 1550 E VENICE AVE

    VENICE, FL 342921661

    Phone: (941) 792-2020

    Type: Location

  • 2111 Bee Ridge Rd

    Sarasota, FL 342396104

    Phone: (941) 792-2020

    Type: Location

  • 3894 Sun City Center Blvd

    Sun City Center, FL 335736806

    Phone: (941) 792-2020

    Type: Location

  • 6002 Pointe West Blvd

    Bradenton, FL 342095531

    Phone: (941) 792-2020

    Type: Location

  • 7915 US Highway 301 N Ste 101

    Ellenton, FL 342223532

    Phone: (941) 792-2020

    Type: Location

  • 6807 State Road 70 E

    Bradenton, FL 342039743

    Phone: (941) 792-2020

    Type: Location

  • PO BOX 11407

    BIRMINGHAM, AL 352468575

    Phone: (864) 359-1308

    Fax: (239) 496-3939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $992.

Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($281).

Total Amount

$992

General + Research + Ownership

Payments

16

Total payment records

General Amount

$992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2024-08-05

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
I20240805002262IOptometryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33901)

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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: 4688664535View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
-FL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
-FL

Reviews

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Frequently asked questions

Can I cross-check SAMANTHA TAYLOR (OD) using NPI 1679310445?
NPI 1679310445 belongs to SAMANTHA TAYLOR (OD); compare other details if you need extra assurance.
Is SAMANTHA TAYLOR (OD) shown as active in public data?
Registry records indicate SAMANTHA TAYLOR (OD) maintains an active NPI.
What area of care is associated with SAMANTHA TAYLOR (OD)?
SAMANTHA TAYLOR (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is SAMANTHA TAYLOR (OD) located near Fort Myers?
SAMANTHA TAYLOR (OD) currently maps to Fort Myers, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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