Individual provider Active NPI

Maribel Lopez Perez, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1164215547
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6670 Issued in FL
Practice address
20760 SW 126TH CT
Miami, FL 33177-5634
Phone
(786) 457-4178
NPI assigned
May 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6670 FL Primary

Addresses

Primary practice location

20760 SW 126TH CT
Miami, FL 33177-5634

Mailing address

20760 SW 126TH CT
Miami, FL 33177-5634
Phone (786) 457-4178

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6670FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1164215547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20760 SW 126TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775634",
            "telephone_number": "786-457-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20760 SW 126TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331775634",
            "telephone_number": "786-457-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ PEREZ",
        "first_name": "MARIBEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.