Active NPI
Cynthia Sue Payne, O. D.
- Optometrist
- Las Vegas, NV
National Provider Identifier
1922195742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 574
- Practice address
- 1225 S Fort Apache Rd
Ste 145
Las Vegas, NV 89117-5498 - Phone
- (702) 479-5222
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 574 | NV | Primary |
Addresses
Primary practice location
1225 S Fort Apache Rd
Ste 145
Las Vegas, NV 89117-5498
Mailing address
1225 S Fort Apache Rd
Ste 145
Las Vegas, NV 89117-5498
Phone (702) 479-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160810002788 | NV | Practitioner - Optometry | 2264726447 | Practice locations: Las Vegas, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1225 S Fort Apache Rd
Suite 145
Las Vegas, NV 89117-5493
Phone (702) 479-5222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 574 | NV | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1922195742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 S FORT APACHE RD",
"address_2": "STE 145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891175498",
"telephone_number": "702-479-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 S FORT APACHE RD",
"address_2": "STE 145",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891175498",
"telephone_number": "702-479-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "CYNTHIA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.