Active NPI
Paye Eye Care Center SC
- Optometrist
- Green Bay, WI
National Provider Identifier
1083644900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1546035
- Legal business name
- PAYE EYE CARE CENTER SC
- Practice address
- 1515 Sixth St
Green Bay, WI 54304-2272 - Phone
- (920) 499-2147
- Fax
- (920) 499-0574
- NPI assigned
- Jul 4, 2006
- 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. Cynthia Ann Overly, OD
- Title
- Vice President
- Phone
- (920) 499-2147
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1546035 | WI | Primary |
| Optometrist | 152W00000X | 2511035 | WI |
Addresses
Primary practice location
1515 Sixth St
Green Bay, WI 54304-2272
Mailing address
1515 Sixth St
Green Bay, WI 54304-2272
Phone (920) 499-2147
National Provider Directory
National Provider DirectoryLocations
1515 6th St
Green Bay, WI 54304
Phone (920) 499-2147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289433600000",
"number": "1083644900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SIXTH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543042272",
"telephone_number": "920-499-2147",
"fax_number": "920-499-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SIXTH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543042272",
"telephone_number": "920-499-2147",
"fax_number": "920-499-0574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAYE EYE CARE CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2010-11-11",
"status": "A",
"authorized_official_last_name": "OVERLY",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "920-499-2147",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "1546035",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "2511035",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.