Danielle A Payne, OD
Individual provider Active NPI Optometrist · Indianapolis, IN
NPI 1124467360 · NPPES record last updated Feb 24, 2016
Key facts
- NPI
- 1124467360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18003800A (IN)
- Practice address
- 2020 W 86TH St
Indianapolis, IN 46260-1969 - Phone
- (317) 871-5900
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Norman Eyecare LTD
Practice addresses (Care Compare)
6326 Rucker Rd
Suite C
Indianapolis, IN 46220-4861
Phone (317) 257-4444
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.23 of 100
- Quality
- 93.73
- Improvement activities
- 40
- Cost
- 79.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131017002011 | IN | Practitioner - Optometry | 2769616101 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18003800A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Eyecare LTD. | Optometrist | Current |
Accepting new patients |
| Norman Eyecare LTD. | Optometrist | Current | Accepting new patients |
| 20/20 Eye Physicians of Indiana P C | Current |
Accepting new patients | |
| Norman Eyecare LTD. | Optometrist | Current |
Accepting new patients |
Locations
2020 W 86th St
Ste 200
Indianapolis, IN 46260
Phone (317) 871-5900
6326 Rucker Rd
Ste C
Indianapolis, IN 46220
Phone (317) 257-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18003800A | IN | Yes |
Addresses
Primary practice location
2020 W 86TH St
Indianapolis, IN 46260-1969
Mailing address
2020 W 86TH St
Indianapolis, IN 46260-1969
Phone (317) 871-5900
NPI Registry JSON
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1124467360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601969",
"telephone_number": "317-871-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601969",
"telephone_number": "317-871-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "DANIELLE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003800A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.