Active NPI
Laguna Eyes Optometry PC
- Clinic/Center
- Laguna Beach, CA
National Provider Identifier
1265632509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2067070 | Laguna Eyes Optometry PC | Certificate of waiver | Oct 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Laguna Beach, CA
- NPI 1124247523
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.