Jasmine Lopez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011799 Issued in IL

Practice address

6430 E State St
Rockford, IL 61108-2529

Phone

(815) 708-8561

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IL

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meyer Eyecare IncGroup PAC ID 6305985961, 3 clinicians

Vep Il Optometric LLCGroup PAC ID 3678814217, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meyer Eyecare Inc

  • Optometrist
  • Blue Island, IL
  • NPI 1114169745
  Medicare reassignment Care Compare group NPD
• Vep Il Optometric LLC

  • Optometrist
  • Bloomington, IL
  • NPI 1528536620
  Medicare reassignment Care Compare group NPD
• Oneopto Il 2 PLLC

  dba All About Eyes

  • Optometrist
  • Bloomington, IL
  • NPI 1003788431
  NPD (past)

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1063291201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082529",
            "telephone_number": "815-708-8561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13114 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604062439",
            "country_code": "US",
            "telephone_number": "708-388-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JASMINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Longphee, APN
• Lonn E Brander DDS LTD (Brander Sleep Wellness Ltd.)
• Adam Patrick Looby
• Alexander Nicholas Lopez, DDS
• Hipolito D Lopez, D.D.S.
• Tracy Lor, PHARMD
• Cassandra Dee Lorenz, MSW
• Olivia Lorenz, APRN
• Lorie Rose Wendt, PLLC
• Rachel Lorscheider, LPC, QMHP

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.