DERRALD G TAYLOR (OD) – Optometrist, NPI 1497748982

DERRALD G TAYLOR (OD) is a healthcare provider. based in Chicago, Illinois. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 046006305 (IL). The NPI Number for DERRALD G TAYLOR (OD) is 1497748982

Main info

Male
58 Years Of Experience
Accepts Medicare Assignment
Name
DERRALD G TAYLOR (OD)
NPI
1497748982
Phone
(312) 949-7259
Address
3241 S MICHIGAN AVE
Enumeration Date
30 August 2005
Last Update Date
22 December 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7084796232
Graduation Year
1968 (58 years ago)
PAC ID
1355435314
Group Practice PAC ID
8628165750
Professional Enrollment ID
I20070920000823
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DERRALD G TAYLOR (OD)

  • Illinois College of Optometry, 3241, South Michigan Avenue, Bronzeville, Douglas, Chicago, Cook County, Illinois, 60616, United States

    CHICAGO, IL 606163849

    Phone: (312) 949-7259

    Fax: (312) 949-7638

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 60616)

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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: 8628165750View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL

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Frequently asked questions

How do payers reference DERRALD G TAYLOR (OD)?
For DERRALD G TAYLOR (OD), use NPI 1497748982 as the unique 10-digit identifier.
Is there an active status for DERRALD G TAYLOR (OD)?
For scheduling context, DERRALD G TAYLOR (OD) is shown as active in the registry.
How would a patient describe DERRALD G TAYLOR (OD)'s focus?
For DERRALD G TAYLOR (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Illinois is DERRALD G TAYLOR (OD) registered?
Use Chicago, Illinois as the headline location for DERRALD G TAYLOR (OD) here.
Does DERRALD G TAYLOR (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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