Individual provider Active NPI

Paul Hubert Payant, O.D.

  • Optometrist
  • Oshkosh, WI
National Provider Identifier
1003264318
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3410-35 Issued in WI
Practice address
1885 W Pointe Dr
Oshkosh, WI 54902-4174
Phone
(920) 232-6550
NPI assigned
May 26, 2016
Last updated
May 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3410-35 WI Primary

Addresses

Primary practice location

1885 W Pointe Dr
Oshkosh, WI 54902-4174

Mailing address

1885 W Pointe Dr
Oshkosh, WI 54902-4174
Phone (920) 232-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160715001720 WI Practitioner - Optometry 5597057224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1885 W Pointe Dr
Oshkosh, WI 54902-4174
Phone (920) 232-6550

Merit-based Incentive Payment System (MIPS)

Final score
99.33 of 100Reported as group
Quality
98.33
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3410-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Wisconsin Vision Center, LTD. Optometrist CurrentSince Jun 13, 2016 Accepting new patients
Northeast Wisconsin Vision Center, LTD CurrentSince Jun 13, 2016 Accepting new patients

Locations

1885 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 232-6550

2130 S Washburn St
Oshkosh, WI 54904
Phone (920) 232-6550

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1003264318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 W POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024174",
            "telephone_number": "920-232-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 W POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024174",
            "telephone_number": "920-232-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYANT",
        "first_name": "PAUL",
        "middle_name": "HUBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3410-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.