Individual provider Active NPI

Marcela Lopez, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1083268643
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011301 Issued in NY
Practice address
3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone
(347) 915-1568
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Primary Health Care Center LLC 44 clinicians

Practice addresses (Care Compare)

1577 Fulton St
Brooklyn, NY 11213-1125
Phone (347) 915-1411

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (718) 434-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190822004104 TX Practitioner - Optometry 0648508051 Reassigns benefits to 2 organizations
I20251209001642 NY Practitioner - Optometry 0648508051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011301NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care PLLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Michael T Poynor OD PA Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Lindsey Alexander OD PA Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Be Well Primary Health Care Center, LLC CurrentSince Nov 4, 2025 Accepting new patients
Jed Lee Howard PA PastSince Jul 30, 2019 Accepting new patients
Aeg Texas Professional PLLC Optometrist PastSince Dec 21, 2025 Accepting new patients

Locations

3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177

1830 S Buckner Blvd
Dallas, TX 75217
Phone (214) 398-1144

7888 Gateway Blvd E
Fl 2
El Paso, TX 79915
Phone (915) 300-3484

2680 George Dieter Dr
El Paso, TX 79936
Phone (915) 315-2584

110 N Adelaide St
Terrell, TX 75160
Phone (972) 563-3253

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9748T TX
Optometrist 152W00000X 011301 NY Primary

Addresses

Primary practice location

3007 Farragut Rd
Brooklyn, NY 11210-1537

Mailing address

3007 Farragut Rd
Brooklyn, NY 11210-1537
Phone (347) 915-1568

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1083268643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 FARRAGUT RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101537",
            "telephone_number": "347-915-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 FARRAGUT RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101537",
            "telephone_number": "347-915-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARCELA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9748T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.