Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Taylor Grace Tackett, DOCTOROFOPTOMETRY

Individual provider Optometrist · NPI 1003508797

Dr. Taylor Grace Tackett, DOCTOROFOPTOMETRY is an Optometry in Russellville, Alabama. Qualified in 2023, 3 years ago. Practices with Campbell Vision Center, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
3
Licensed in
AL
In the registry since
2023

Practice location Address checks out

14378 Highway 43
Russellville, AL 35653-2568
Phone: (256) 332-1355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence S-F21 (AL)

Record details

NPI number1003508797
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOCTOROFOPTOMETRY
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESJune 7, 2023
Certification dateJune 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Campbell Vision Center, Inc. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Russellville