Wayne Paddock

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1271 Issued in MA

Practice address

583 Iyannough Rd
Hyannis, MA 02601-1929

Phone

(508) 771-2205

Fax

(508) 778-1973

NPI assigned

Nov 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Wayne Paddock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Cape Opticians Inc.

  • Eyewear Supplier
  • Hyannis, MA
  • NPI 1043334386
  NPD (past) Authorized official
• Cape Cod Vision Associates Inc

  • Optometrist
  • Falmouth, MA
  • NPI 1831218759
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1053854893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 IYANNOUGH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011929",
            "telephone_number": "508-771-2205",
            "fax_number": "508-778-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 IYANNOUGH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011929",
            "telephone_number": "508-771-2205",
            "fax_number": "508-778-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "1271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WAYNE",
            "last_name": "PADDOCK",
            "prefix": "MR.",
            "credential": "RDO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Colleen Carlson Overstreet, CNP
• Jill S Oxley, M.D.
• Nancy Pace, LMSW
• Leah Pacheco
• Sharon Lee Packer, COTA CERTIFIED OCCUP
• Dhespina Pango
• Achilles K Papavasiliou, MD
• Todd M Paquette, COTA/L
• Sarah Lynn Parker, MD
• Mindy M Parnes, MD

• Optician in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.