Individual provider Active NPI

William Payton Patterson, O.D.

  • Optometrist
  • Panama City, FL
National Provider Identifier
1952559684
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4373 Issued in FL
Practice address
1714 W 23Rd St
Suite K
Panama City, FL 32405-2932
Phone
(850) 832-3421
NPI assigned
Sep 6, 2008
Last updated
May 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-B83-TA-797 AL
Optometrist 152W00000X OPC 4373 FL Primary

Addresses

Primary practice location

1714 W 23Rd St
Suite K
Panama City, FL 32405-2932

Mailing address

1714 W 23Rd St
Suite K
Panama City, FL 32405-2932
Phone (850) 215-9101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090717000568 FL Practitioner - Optometry 4284786419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1714 W 23Rd St
Suite K
Panama City, FL 32405-2924
Phone (850) 215-9101

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4373FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Eye Care Optometrist CurrentSince May 30, 2009 Accepting new patients
D & J Optical Inc Optometrist Past Accepting new patients
D & J Optical Inc Optometrist Past Accepting new patients

Locations

1714 W 23rd St
Ste K
Panama City, FL 32405
Phone (850) 215-9101

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1952559684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 W 23RD ST",
            "address_2": "SUITE K",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052932",
            "telephone_number": "850-215-9101",
            "fax_number": "850-215-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 W 23RD ST",
            "address_2": "SUITE K",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052932",
            "telephone_number": "850-832-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "WILLIAM",
        "middle_name": "PAYTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-06",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-B83-TA-797",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.