Organization Active NPI

John a. Floryan, O.D., Inc.

  • Optometrist
  • Ventura, CA
National Provider Identifier
1497837603
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5389T Issued in CA
Legal business name
JOHN A. FLORYAN, O.D., INC.
Practice address
2895 Loma Vista Rd
Suite a
Ventura, CA 93003-1572
Phone
(805) 643-3170
Fax
(805) 643-4101
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
John Andrew Floryan, O.D.
Title
President
Phone
(805) 643-3170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5389T CA Primary

Addresses

Primary practice location

2895 Loma Vista Rd
Suite a
Ventura, CA 93003-1572

Mailing address

2895 Loma Vista Rd
Suite a
Ventura, CA 93003-1572
Phone (805) 643-3170

Other identifiers 1

IdentifierTypeStateIssuer
SD0053890MedicaidCA

National Provider Directory

National Provider Directory

Locations

2895 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 643-3170

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1497837603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2895 LOMA VISTA RD",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031572",
            "telephone_number": "805-643-3170",
            "fax_number": "805-643-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 LOMA VISTA RD",
            "address_2": "SUITE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031572",
            "telephone_number": "805-643-3170",
            "fax_number": "805-643-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. FLORYAN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "FLORYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-643-3170",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5389T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0053890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.