Organization Active NPI

Payne Opticians

  • Optician
  • Warminster, PA
National Provider Identifier
1154467546
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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

Updated by the provider on Jan 28, 2008

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)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930080167 PA DME Supplier - Optician 0345369377 Practice locations: Warminster, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.