Individual provider Active NPI

Payton Atchley, OD

  • Optometrist
  • Duncan, OK
National Provider Identifier
1992378590
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3108 Issued in OK
Practice address
3590 N Highway 81
Duncan, OK 73533-8930
Phone
(580) 255-9717
Fax
(580) 255-7598
NPI assigned
Jul 21, 2021
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3108 OK Primary

Addresses

Primary practice location

3590 N Highway 81
Duncan, OK 73533-8930

Mailing address

3590 N Highway 81
Duncan, OK 73533-8930
Phone (580) 255-9717

Other practice location 1

405 S Broadway St
Marlow, OK 73055-3029
Phone (580) 658-5774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210803001994 OK Practitioner - Optometry 6901200633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Family Eye Care IncGroup PAC ID 5698943264, 5 clinicians

Practice addresses (Care Compare)

3590 N Hwy 81
Duncan, OK 73533-8930
Phone (580) 255-9717

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Family Eye Care Inc Optometrist CurrentSince Jul 28, 2021 Accepting new patients
Duncan Family Eye Care Inc Optometrist CurrentSince Jul 28, 2021 Accepting new patients

Locations

2016 N Highway 81
Duncan, OK 73533
Phone (580) 255-9717

405 S Broadway St
Marlow, OK 73055
Phone (580) 255-9717

Organizations & group practices 2

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1992378590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 N HIGHWAY 81",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735338930",
            "telephone_number": "580-255-9717",
            "fax_number": "580-255-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 N HIGHWAY 81",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735338930",
            "telephone_number": "580-255-9717",
            "fax_number": "580-255-7598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 S Broadway St",
            "address_purpose": "LOCATION",
            "city": "Marlow",
            "state": "OK",
            "postal_code": "730553029",
            "country_code": "US",
            "telephone_number": "580-658-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATCHLEY",
        "first_name": "PAYTON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

Verify at the official NPI Registry.