Organization Active NPI

Laguna Eyes Optometry PC

  • Clinic/Center
  • Laguna Beach, CA
National Provider Identifier
1265632509
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAGUNA EYES OPTOMETRY PC
Practice address
1100 S Coast Hwy
Ste 201
Laguna Beach, CA 92651-2968
Phone
(949) 497-1769
Fax
(949) 497-2808
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Ms. Sasha Lock
Title
Office Manger/Biiler
Phone
(949) 497-1769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1100 S Coast Hwy
Ste 201
Laguna Beach, CA 92651-2968

Mailing address

1100 S Coast Hwy
Ste 201
Laguna Beach, CA 92651-2968
Phone (949) 497-1769

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090819000822 CA Part B Supplier - Clinic/Group Practice 2062566458 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2067070Laguna Eyes Optometry PC1100 S Coast Hwy Ste 201, Laguna Beach, CA 92651Certificate of waiverOct 7, 2027

National Provider Directory

National Provider Directory

Locations

1100 S Coast Hwy
Ste 201
Laguna Beach, CA 92651

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1265632509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY",
            "address_2": "STE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512968",
            "telephone_number": "949-497-1769",
            "fax_number": "949-497-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY",
            "address_2": "STE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512968",
            "telephone_number": "949-497-1769",
            "fax_number": "949-497-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA EYES OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "LOCK",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "OFFICE MANGER/BIILER",
        "authorized_official_telephone_number": "949-497-1769",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.