Kelli Payne, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004000B Issued in IN

Practice address

5405 Pearl Dr
#4
Evansville, IN 47712

Phone

(812) 426-2066

NPI assigned

Oct 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Advantage Eye Care PLLCGroup PAC ID 1153225859, 6 clinicians

Family First Vision Care Kentucky LLCGroup PAC ID 3577975291, 19 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Eye Care, PLLC

  • Optometrist
  • Owensboro, KY
  • NPI 1437143849

  IN

  Medicare reassignment Care Compare group NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1396396750

  IN

  Medicare reassignment Care Compare group NPD
• Roger I Jones, O.D. LLC

  • Optometrist
  • Owensboro, KY
  • NPI 1912145962
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1275083388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 PEARL DR STE 4",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128102",
            "telephone_number": "812-426-2066",
            "fax_number": "812-426-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 PEARL DR",
            "address_2": "#4",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47712",
            "telephone_number": "812-426-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KELLI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004000B",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004000A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Pavlichek
• Caroline R Payne, PHARM D
• Elise Payne, LAT, ATC
• Jeffrey L Payne, M.D.
• Julia Payne, NP
• Kelsey Payne, MSN, APRN, FNP-BC
• Lacey Payne, LCSW
• Peace of Mind Counseling LLC
• Joanna Peak
• Pearce Medical LLC

• Optometrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.