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Deactivated NPI 1366559049 Deactivated / Inactive NPI Male Practitioner

Dr. Wyatt Robert Taylor , DO, DOS

Optometrist • Perry, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wyatt Taylor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2006
NPI Deactivation Date August 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Wyatt Taylor, DO, DOS was a registered Optometrist practicing in Perry, FL. Throughout an active medical career spanning 14 years, Dr. Taylor provided care at the practice location at 1502 S JEFFERSON ST until profile deactivation on 2020-08-17.

Practice Location & Contact Primary Location

Practice Address

1502 S Jefferson St

Perry, FL 323485601

Telephone 8505842408
Fax 8508381833
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Perry, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Perry, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OPC00784

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 17, 2020

Record deactivated on August 17, 2020

NPI Profile Active July 10, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2013

Registered at 1502 S JEFFERSON ST, PERRY, FL 323485601 (Tel: 8505842408)

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Updated Business Mailing Address July 10, 2013

Registered at 1502 S JEFFERSON ST, PERRY, FL 323485601 (Tel: 8505842408)

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Provider Name / Credentials Updated July 10, 2013

Recorded as WYATT TAYLOR, D.O., D.O.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2013

Optometrist (License #OPC00784 in FL)

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Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366559049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2006
Last Update: July 10, 2013
Deactivation Date: August 17, 2020

Mailing Address

1502 S Jefferson St

Perry, FL 323485601

Phone: 8505842408

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.