Individual provider Active NPI

Darren Payne, M.D.

  • Ophthalmology Physician
  • Panama City, FL
National Provider Identifier
1871505412
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME88113 Issued in FL
Practice address
1600 Jenks Ave
Panama City, FL 32405-4644
Phone
(850) 763-6666
Fax
(850) 763-6665
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME88113 FL Primary

Addresses

Primary practice location

1600 Jenks Ave
Panama City, FL 32405-4644

Mailing address

1600 Jenks Ave
Panama City, FL 32405-4644
Phone (850) 763-6666

Other identifiers 1

IdentifierTypeStateIssuer
268988000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME88113FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Filutowski Eye Institute PA Current Accepting new patients

Locations

110 Yorktowne Dr
Daytona Beach, FL 32119
Phone (386) 788-6696

1070 Greenwood Blvd
Lake Mary, FL 32746
Phone (407) 333-1537

2295 S Hiawassee Rd
Ste 101
Orlando, FL 32835
Phone (407) 902-2533

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1871505412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054644",
            "telephone_number": "850-763-6666",
            "fax_number": "850-763-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054644",
            "telephone_number": "850-763-6666",
            "fax_number": "850-763-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME88113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268988000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.