TAYLOR VINCENT – Optometrist, NPI 1922793058

TAYLOR VINCENT is a healthcare provider. based in Tahlequah, Oklahoma. specializing in OPTOMETRY. They hold a License No. 3247 (OK). The NPI Number for TAYLOR VINCENT is 1922793058

Main info

Female
3 Years Of Experience
Name
TAYLOR VINCENT
NPI
1922793058
Phone
(918) 949-1217
Address
1402 N VINITA AVE UNIT 1
Enumeration Date
5 April 2023
Last Update Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9183339292
Graduation Year
2023 (3 years ago)
PAC ID
1850833708
Group Practice PAC ID
7012102841
Professional Enrollment ID
I20240606001326
Address ID
OK740067136BA2225XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

Provider Addresses for TAYLOR VINCENT

  • 1402 N VINITA AVE UNIT 1

    TAHLEQUAH, OK 744646483

    Phone: (918) 949-1217

    Type: Mailing

  • 10010 E 81ST ST STE 100

    TULSA, OK 741334558

    Phone: (918) 250-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $585.

Total Amount is formed as General ($585) + Research ($0) + Ownership ($0) = $585.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Tarsus Pharmaceuticals, Inc. ($169).

Total Amount

$585

General + Research + Ownership

Payments

17

Total payment records

General Amount

$585

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2024-06-06

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
I20240606001326IOptometryOKTBD

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 74464)

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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: 7012102841View full group profile
NameSpecialtyState
O P T O M E T R YOK
O P T O M E T R YOK

Reviews

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Frequently asked questions

What is the 10-digit NPI for TAYLOR VINCENT?
TAYLOR VINCENT — NPI 1922793058 — is the standard way to identify this listing.
Does the file indicate TAYLOR VINCENT is practicing under active NPI?
Directory data currently reports TAYLOR VINCENT as active.
What is TAYLOR VINCENT's primary classification?
Optometrist is the headline specialty for TAYLOR VINCENT here. Clinical services aligned with this taxonomy classification.
Does TAYLOR VINCENT list a practice location?
Patients near Tahlequah, Oklahoma may find TAYLOR VINCENT in results; validate coverage separately.
Why does TAYLOR VINCENT have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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