Ericka Michelle Lopez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6181 Issued in FL

Practice address

4100 N Wickham Rd Ste 120
Melbourne, FL 32935-2483

Phone

(321) 701-6072

NPI assigned

Nov 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• National Vision Inc

  • Optometrist
  • Melbourne, FL
  • NPI 1447974654
  NPD

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1043920499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 MOOR DR",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334615720",
            "telephone_number": "561-307-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N WICKHAM RD STE 120",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352483",
            "telephone_number": "321-701-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ERICKA",
        "middle_name": "MICHELLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linnette Lopez Lopez, MD
• Yvette Marie Lopez-Granberry, M.D.
• Jenette Teresa Lopez-Nunes, MD
• Penelope Lopez-Rivera
• Betsy Lopez
• Heather Nicole Lopez, M.D.
• Jose Alejandro Lopez, DDS, ORTHO CERT.
• Krystal Lopez, APRN
• Laryssa Charisse Lopez, RBT
• Robert Lopez

• Optometrist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.