Organization Active NPI

Dr. Lori L. Floyd, Inc.

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1225251689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9748T Issued in CA
Legal business name
DR. LORI L. FLOYD, INC.
Practice address
24000 Alicia Pkwy
Suite 11
Mission Viejo, CA 92691-3929
Phone
(949) 768-0331
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lori Leigh Floyd, ODNPI 1306993613
Title
President
Phone
(949) 768-0331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9748T CA Primary

Addresses

Primary practice location

24000 Alicia Pkwy
Suite 11
Mission Viejo, CA 92691-3929

Mailing address

24000 Alicia Pkwy
Suite 11
Mission Viejo, CA 92691-3929
Phone (949) 768-0331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080119000141 CA Part B Supplier - Clinic/Group Practice 0345321048 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

24000 Alicia Pkwy
Ste 11
Mission Viejo, CA 92691
Phone (949) 768-0331

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225251689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24000 ALICIA PKWY",
            "address_2": "SUITE 11",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913929",
            "telephone_number": "949-768-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24000 ALICIA PKWY",
            "address_2": "SUITE 11",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913929",
            "telephone_number": "949-768-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LORI L. FLOYD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-768-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9748T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.