Active NPI
Sandra M. Payton Vision Care, Inc
- Optometrist
- Quincy, MA
National Provider Identifier
1053684027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4696
- Legal business name
- SANDRA M. PAYTON VISION CARE, INC
- Practice address
- 1147 Hancock St Ste E
Quincy, MA 02169-4330 - Phone
- (857) 300-3039
- NPI assigned
- Feb 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandra Payton
- Title
- Optometrist
- Phone
- (857) 300-3039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4696 | MA | Primary |
Addresses
Primary practice location
1147 Hancock St Ste E
Quincy, MA 02169-4330
Mailing address
PO Box 749
Randolph, MA 02368-0749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0719617 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1147 Hancock St
Ste E
Quincy, MA 02169
Phone (857) 300-3039
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cambridge, MA
- NPI 1851549224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475712000000",
"number": "1053684027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023680749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1147 HANCOCK ST STE E",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694330",
"telephone_number": "857-300-3039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA M. PAYTON VISION CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-21",
"last_updated": "2016-10-06",
"status": "A",
"authorized_official_last_name": "PAYTON",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "857-300-3039",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MA",
"license": "4696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0719617",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.