Charles Keith Payne, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1101000645 Issued in VA

Practice address

1835 Rosser Ave
Waynesboro, VA 22980-3236

Phone

(540) 943-3113

Fax

(540) 943-3113

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Charles Keith Payne,Inc

  • Optician
  • Waynesboro, VA
  • NPI 1356396592
  NPD Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952460651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 ROSSER AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803236",
            "telephone_number": "540-943-3113",
            "fax_number": "540-943-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 ROSSER AVE",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229803236",
            "telephone_number": "540-943-3113",
            "fax_number": "540-943-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CHARLES",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101000645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Osei-Mensah, FNP
• Nathan Allen Ostheimer, M.D.
• Quay William Parrott, DDS
• Bhavinkumar Patel
• Pathways to Clarity
• Jane Pedersen, M. ED., CCC- SLP
• Mary Lee Pemberton, O.D.
• Jordan Faith Phillips, LPC
• Madison Phillips
• Physical Therapy at Acac

• Optician in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Optician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.