Individual provider Active NPI

Danielle A Payne, OD

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1124467360
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003800A Issued in IN
Practice address
2020 W 86TH St
Indianapolis, IN 46260-1969
Phone
(317) 871-5900
NPI assigned
Jun 20, 2013
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 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 18003800A IN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20131017002011 IN Practitioner - Optometry 2769616101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Eyecare LTDGroup PAC ID 3173685088, 19 clinicians

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 100Reported as group
Quality
93.73
Improvement activities
40
Cost
79.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003800AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Eyecare LTD. Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Norman Eyecare LTD. Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Norman Eyecare LTD. Optometrist Current Accepting new patients
20/20 Eye Physicians of Indiana P C CurrentSince Jul 6, 2015 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

Organizations & group practices 4

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": "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

Verify at the official NPI Registry.