DR. TAYLOR WOODBURY BLADH O.D.
NPI 1467527028
Optometrist in Diamond Bar, CA

Active since November 21, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2085182 · Waiver
718 N. DIAMOND BAR BLVD., DIAMOND BAR, CA 91765(909) 861-3737(909) 396-7517 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Taylor Woodbury Bladh O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAYLOR WOODBURY BLADH O.D. (NPI 1467527028) is an individual optometrist in Diamond Bar, California, licensed in California (OPT8921TPG) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 7, 2026, and maintains a secondary practice location in Costa Mesa.

NPPES Registry Identity

NPI1467527028
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. TAYLOR WOODBURY BLADHCredential: O.D.
Location Address718 N. DIAMOND BAR BLVD.Diamond Bar, CA 91765-4122
Mailing Address718 N. Diamond Bar BlvdDiamond Bar, CA 91765-4122 · (909) 861-3737 · Fax (909) 396-7517
Fax(909) 396-7517
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1986
Enumeration DateNovember 21, 2006
Last NPPES UpdateApril 10, 2019
NPI 1467527028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in CA · OPT8921TPG Licensed in CA · OPT8921TPA
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

718 N. DIAMOND BAR BLVD., Diamond Bar, CA 91765

Secondary Practice Location 1

Location 11796 Newport BlvdCosta Mesa, CA 92627-2756 · Phone (949) 642-2020

Other Identifiers 2

MedicaidSD0088870CA
MedicaidSD0081970CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Taylor Woodbury Bladh O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365489929
PECOS Enrollment IDI20050503000462
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2085182

Dr Taylor Bladh · Diamond Bar, CA
Active · expires Oct 7, 2026
CLIA Number05D2085182
Laboratory TypePractitioner Other
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorTaylor W. Bladh
Laboratory Phone(909) 861-3737
Laboratory LocationDr Taylor Bladh718 N Diamond Bar Blvd, Diamond Bar, CA 91765
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services25 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91765 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Bladh's NPI number?

The NPI number for Taylor Bladh is 1467527028. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Taylor Bladh located?

Taylor Bladh practices at 718 N. Diamond Bar Blvd., Diamond Bar, CA 91765. The listed phone number is (909) 861-3737.

What is Taylor Bladh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Taylor Bladh enrolled in Medicare?

Yes. Taylor Bladh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Taylor Bladh hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2085182) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Taylor Bladh accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Taylor Bladh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taylor Bladh was last updated on April 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.