Individual provider Active NPI

Lori Leigh Floyd, O.D.

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1306993613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9748T Issued in CA
Practice address
24000 Alicia Pkwy
Suite # 11
Mission Viejo, CA 92691-3929
Phone
(949) 768-0331
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000724 CA Practitioner - Optometry 8729168455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24000 Alicia Pkwy
Suite 11
Mission Viejo, CA 92691-3900
Phone (949) 768-0331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9748TCAMDOptometrist
9748CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Lori L. Floyd, Inc. Optometrist CurrentSince Nov 10, 2007 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306993613",
    "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": {
        "last_name": "FLOYD",
        "first_name": "LORI",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9748T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.