Organization Name: | GEORGE W. PAYNE, JR. O.D. |
NPI Number: | 1508959354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE W PAYNE (OWNER) |
Mailing Address: | 608 Austin Street Levelland |
State: | TX US |
Postal Code: | 793364616 |
Phone Number: | 8068946330 |
Fax Number: | 8068942443 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 1969TG |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |