Active NPI
Payne Opticians
- Optician
- Warminster, PA
National Provider Identifier
1154467546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- PAYNE OPTICIANS
- Doing business as
- Pearle Vision
- Practice address
- 632 York Rd
Warminster, PA 18974-2002 - Phone
- (215) 674-5700
- NPI assigned
- Jan 30, 2007
- 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
- Victoria L Bourdon-Payne, D.O.
- Title
- Operating Owner
- Phone
- (215) 674-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
632 York Rd
Warminster, PA 18974-2002
Mailing address
632 York Rd
Warminster, PA 18974-2002
Phone (215) 674-5700
Other names 1
- Pearle Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930080167 | PA | DME Supplier - Optician | 0345369377 | Practice locations: Warminster, PA |
National Provider Directory
National Provider DirectoryLocations
632 York Rd
Warminster, PA 18974
Phone (215) 674-5700
632 York Rd
#C
Warminster, PA 18974
Phone (215) 674-5700
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
- Jamison, PA
- NPI 1134191919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1154467546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 YORK RD",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189742002",
"telephone_number": "215-674-5700",
"fax_number": "215-674-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 YORK RD",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189742002",
"telephone_number": "215-674-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAYNE OPTICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "BOURDON-PAYNE",
"authorized_official_first_name": "VICTORIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPERATING OWNER",
"authorized_official_telephone_number": "215-674-5700",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearle Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warminster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.