NICHOLAS TAYLOR (OD) – Optometrist, NPI 1356022966

NICHOLAS TAYLOR (OD) is a healthcare provider. based in Hazard, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2346DT (KY). The NPI Number for NICHOLAS TAYLOR (OD) is 1356022966

Main info

Male
Sole Proprietor
3 Years Of Experience
Name
NICHOLAS TAYLOR (OD)
NPI
1356022966
Phone
(606) 436-6565
Address
120 DANIEL BOONE PLZ
Enumeration Date
26 July 2023
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6064366565
Graduation Year
2023 (3 years ago)
PAC ID
7315391554
Professional Enrollment ID
I20230921003610
Address ID
KY417015335HA120XXPLZX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

700 OPTOMETRY in KY

Provider Addresses for NICHOLAS TAYLOR (OD)

  • 120 DANIEL BOONE PLZ

    HAZARD, KY 417015335

    Phone: (606) 436-6565

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-21

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
I20230921003610IOptometryKYTBD

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 41701)

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Reviews

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Frequently asked questions

Is NICHOLAS TAYLOR (OD) listed with a National Provider Identifier?
Yes — NICHOLAS TAYLOR (OD) has NPI 1356022966 on file in the registry.
Active or inactive — what applies to NICHOLAS TAYLOR (OD)?
You should see NICHOLAS TAYLOR (OD) as active in CMS-hosted NPPES data.
What area of care is associated with NICHOLAS TAYLOR (OD)?
NICHOLAS TAYLOR (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is NICHOLAS TAYLOR (OD) located near Hazard?
NICHOLAS TAYLOR (OD) currently maps to Hazard, Kentucky in this extract.
When was this NPI issued?
Enumeration for NICHOLAS TAYLOR (OD) is noted as July 26, 2023 where the registry provides it.

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