Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Malique Roxanne Payne, OD

Individual provider Optometrist · NPI 1457546376

Mrs. Malique Roxanne Payne, OD is an Optometry in Fayetteville, Georgia. Graduated from State University of New York - State College Optometry in 2007, 19 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Georgia and New York.

Years since qualifying
19
Trained at
State University of New York - State College Optometry
Licensed in
AL, GA, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

125 Pavilion Pkwy
Fayetteville, GA 30214-4098
Phone: (770) 460-7894
Fax: (770) 719-4392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1569 N Expressway, Griffin, GA 30223-1746 — (770) 233-6860

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT002483 (GA)
Optometrist Taxonomy 152W00000X · Licence R-227-TA-984 (AL)
Optometrist Taxonomy 152W00000X · Licence TUV007182 (NY)

Record details

NPI number1457546376
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 13, 2007
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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