Active NPI
Douglas William Payne, OD
- Optometrist
- Murray, KY
National Provider Identifier
1447335807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KY1489DT
- Practice address
- 809 Arcadia Cir
Suite a
Murray, KY 42071-1563 - Phone
- (270) 753-5507
- Fax
- (270) 753-5504
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | KY1489DT | KY | Primary |
Addresses
Primary practice location
809 Arcadia Cir
Suite a
Murray, KY 42071-1563
Mailing address
PO Box 1024
Murray, KY 42071
Phone (270) 753-5507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77000982 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1489DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D Payne Enterprises, Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Murray, KY
- NPI 1275703563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1447335807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1024",
"city": "MURRAY",
"state": "KY",
"postal_code": "42071",
"telephone_number": "270-753-5507",
"fax_number": "270-753-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 ARCADIA CIR",
"address_2": "SUITE A",
"city": "MURRAY",
"state": "KY",
"postal_code": "420711563",
"telephone_number": "270-753-5507",
"fax_number": "270-753-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "DOUGLAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "KY1489DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77000982",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.