Individual provider Active NPI

Richard Wayne Floyd, LICENSED OPTICIAN

  • Optician
  • Lynchburg, VA
National Provider Identifier
1821789868
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101002144 Issued in VA
Practice address
3900 Wards Rd
Lynchburg, VA 24502-2942
Phone
(434) 832-1208
Fax
(434) 832-0466
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101002144 VA Primary

Addresses

Primary practice location

3900 Wards Rd
Lynchburg, VA 24502-2942

Mailing address

3900 Wards Rd
Lynchburg, VA 24502-2942
Phone (434) 832-1208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101002144VAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1821789868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WARDS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022942",
            "telephone_number": "434-832-1208",
            "fax_number": "434-832-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WARDS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022942",
            "telephone_number": "434-832-1208",
            "fax_number": "434-832-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "credential": "LICENSED OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101002144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.