Patricia D Payne

Primary specialty

OptometristTaxonomy code 152W00000X

License

11383T Issued in CA

Practice address

67 Lakewood Center Mall
J C Penney Optical
Lakewood, CA 90712-2417

Phone

(562) 634-7000

Fax

(562) 630-0176

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Patricia D Payne Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225153299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2286 E CARSON ST",
            "address_2": "#246",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073044",
            "telephone_number": "714-676-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LAKEWOOD CENTER MALL",
            "address_2": "J C PENNEY OPTICAL",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122417",
            "telephone_number": "562-634-7000",
            "fax_number": "562-630-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11383T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "PAYNE",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Opal Patel, DPM
• Shirish Bavajibhai Patel, M.D
• Pathways Volunteer Hospice
• Kimberly Paulin
• Judy Pawid
• Jennifer Peart, FNP
• Marlon Donasco Pelayo, RD
• Rebecca Irene Alcazaren Pena, DMD
• Maria Peralta
• Adela Peratoner, PT

• Optometrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.