Organization Active NPI

Dr. Danny J. Payne

  • Eyewear Supplier
  • North Wilkesboro, NC
National Provider Identifier
1497925796
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
992 Issued in NC
Legal business name
DR. DANNY J. PAYNE
Practice address
625 W Park Cir
North Wilkesboro, NC 28659-3550
Phone
(336) 838-5852
Fax
(336) 838-8798
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Danny J. Payne, O.D.
Title
Owner
Phone
(336) 838-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 992 NC Primary

Addresses

Primary practice location

625 W Park Cir
North Wilkesboro, NC 28659-3550

Mailing address

PO Box 988
North Wilkesboro, NC 28659-0988
Phone (336) 838-5852

Other identifiers 1

IdentifierTypeStateIssuer
8909697MedicaidNC

National Provider Directory

National Provider Directory

Locations

525 W Park Cir
North Wilkesboro, NC 28659
Phone (336) 838-5852

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1497925796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 988",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286590988",
            "telephone_number": "336-838-5852",
            "fax_number": "336-838-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W PARK CIR",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593550",
            "telephone_number": "336-838-5852",
            "fax_number": "336-838-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANNY J. PAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-838-5852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909697",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.