DERRALD G TAYLOR OD
NPI 1497748982
Optometrist in Chicago, IL

Q: What is Derrald Taylor's NPI number?

The NPI number for Derrald Taylor is 1497748982. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Derrald Taylor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrald Taylor was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2005

3241 S MICHIGAN AVE, CHICAGO, IL 60616(312) 225-6200(312) 949-7660 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Derrald G Taylor Od NPPES

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

DERRALD G TAYLOR OD (NPI 1497748982) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046006305) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1497748982

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDERRALD G TAYLORCredential: OD

Location Address3241 S MICHIGAN AVEChicago, IL 60616-3849

Mailing Address3241 S Michigan AveChicago, IL 60616-3849 · (312) 949-7259 · Fax (312) 949-7638

Phone(312) 225-6200

Fax(312) 949-7660

Sole ProprietorNo

Enumeration DateAugust 30, 2005

Last NPPES UpdateDecember 22, 2008

✔ NPI 1497748982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046006305

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.

3241 S MICHIGAN AVE, Chicago, IL 60616

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Other Identifiers 3

Medicare UPINT36499

Medicare PINP15679IL

Medicaid046006305IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATHAN MICHAEL OKANO

Optometrist