NPIMap

Organization Active NPI

Lou Roy Elder, O.D., Inc.

  • Optometrist
  • Newport Beach, CA
National Provider Identifier
1205196193
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT3903T Issued in CA
Legal business name
LOU ROY ELDER, O.D., INC.
Practice address
1725 Westcliff Dr
Newport Beach, CA 92660-5529
Phone
(949) 642-0720
Fax
(949) 642-8087
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Dr. Lou Roy Elder, O.D.
Title
Optometrist
Phone
(949) 642-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT3903T CA Primary

Addresses

Primary practice location

1725 Westcliff Dr
Newport Beach, CA 92660-5529

Mailing address

1725 Westcliff Dr
Newport Beach, CA 92660-5529
Phone (949) 642-0720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1205196193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 WESTCLIFF DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605529",
            "telephone_number": "949-642-0720",
            "fax_number": "949-642-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 WESTCLIFF DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605529",
            "telephone_number": "949-642-0720",
            "fax_number": "949-642-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOU ROY ELDER, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "949-642-0720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT3903T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.