Active NPI
Jennifer Ann Floyd, OD
- Vision Therapy Optometrist
- Ruston, LA
National Provider Identifier
1174565295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- LA1285-436T
- Practice address
- 1010 S Vienna St
Ruston, LA 71270-5832 - Phone
- (318) 255-9433
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | LA1285-436T | LA | Primary |
Addresses
Primary practice location
1010 S Vienna St
Ruston, LA 71270-5832
Mailing address
153 Johnston Rd
Choudrant, LA 71227-3479
Phone (318) 768-4410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1431362 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
303 N Trenton St
Ruston, LA 71270-3805
Phone (318) 202-5845
Merit-based Incentive Payment System (MIPS)
- Final score
- 14.32 of 100
- Quality
- 25
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 87 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA1285-436T | LA | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Visual Difference LLC | Vision Therapy | Current | Accepting new patients |
Locations
1010 S Vienna St
Ruston, LA 71270
Phone (318) 255-0817
303 N Trenton St
Ruston, LA 71270
Phone (318) 202-5845
Organizations & group practices 1
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.
-
- Vision Therapy Optometrist
- Ruston, LA
- NPI 1891879821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1174565295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 JOHNSTON RD",
"city": "CHOUDRANT",
"state": "LA",
"postal_code": "712273479",
"telephone_number": "318-768-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S VIENNA ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705832",
"telephone_number": "318-255-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "LA",
"license": "LA1285-436T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1431362",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.