Organization Active NPI

Lopez Opt LLC

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1164234472
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOPEZ OPT LLC
Practice address
5372 W 16TH Ave
Hialeah, FL 33012-2165
Phone
(305) 362-4020
Fax
(305) 362-2592
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Gabriel Lopez, ODNPI 1235737446
Title
Owner
Phone
(305) 469-0341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5372 W 16TH Ave
Hialeah, FL 33012-2165

Mailing address

5372 W 16TH Ave
Hialeah, FL 33012-2165
Phone (305) 362-4020

Other practice location 1

5645 NW 87th Ave Ste 100
Doral, FL 33178-2182
Phone (305) 362-4020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1164234472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-362-4020",
            "fax_number": "305-362-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122165",
            "telephone_number": "305-362-4020",
            "fax_number": "305-362-2592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5645 NW 87th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782182",
            "country_code": "US",
            "telephone_number": "305-362-4020",
            "fax_number": "305-362-2592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOPEZ OPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-469-0341",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.