Active NPI
Melissa Marie Lopez, OD
- Optometrist
- Lakeville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3590
- Practice address
- 18275 Kenrick Ave
Lakeville, MN 55044-7306 - Phone
- (952) 892-0028
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3590 | MN | Primary |
Addresses
Primary practice location
18275 Kenrick Ave
Lakeville, MN 55044-7306
Mailing address
1078 Cherokee Ave
West St Paul, MN 55118-1101
Phone (651) 604-7025
Other practice location 1
8900 Minnesota 7
St. Louis Park, MN 55426
Phone (952) 933-4858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825002800 | MN | Practitioner - Optometry | 2567846546 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionary Eye Care, PA | Optometrist | Current | Accepting new patients |
| St Paul Eye Clinic PA | Current | Accepting new patients | |
| St Paul Eye Clinic PA | Current | Accepting new patients |
Locations
851 W 78th St
Chanhassen, MN 55317
Phone (952) 252-1208
1215 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 454-2526
18275 Kenrick Ave
Lakeville, MN 55044
Phone (952) 892-0028
1675 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 227-6634
7000 York Ave S
Minneapolis, MN 55435
Phone (952) 922-8118
15800 87th St NE
Otsego, MN 55330
Phone (763) 252-1316
6445 Richfield Pkwy
Richfield, MN 55423
Phone (612) 243-0201
21615 S Diamond Lake Rd
Rogers, MN 55374
Phone (763) 428-4831
2680 Snelling Ave N
Ste 110
Roseville, MN 55113
Phone (651) 631-2922
1093 Grand Ave
Saint Paul, MN 55105
Phone (651) 222-7343
14333 Highway 13 S
Savage, MN 55378
Phone (952) 226-1411
8900 Highway 7
St Louis Park, MN 55426
Phone (952) 933-4858
2080 Woodwinds Dr
Ste 110
Woodbury, MN 55125
Phone (651) 738-6500
2080 Woodwinds Dr
Ste 230
Woodbury, MN 55125
Phone (651) 578-6949
Interoperability endpoints
- mlopez@stpauleye.intellechartdirect.net
Organizations & group practices 3
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.
-
- Eyewear Supplier
- Woodbury, MN
- NPI 1669574646
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Paul Eye Clinic PA
Practice addresses (Care Compare)
2080 Woodwinds Dr
Suite 230
Woodbury, MN 55125-2539
Phone (651) 578-6949
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.92 of 100
- Quality
- 89.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.71
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1114405271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 CHEROKEE AVE",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551181101",
"telephone_number": "651-604-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18275 KENRICK AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550447306",
"telephone_number": "952-892-0028"
}
],
"practiceLocations": [
{
"address_1": "8900 Minnesota 7",
"address_purpose": "LOCATION",
"city": "St. Louis Park",
"state": "MN",
"postal_code": "55426",
"country_code": "US",
"telephone_number": "952-933-4858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "MELISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.