Individual provider Active NPI

Gabriel Enrique Lopez, OD

  • Optometrist
  • Cutler Bay, FL
National Provider Identifier
1235737446
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005871 Issued in FL
Practice address
20505 S Dixie Hwy Ste 559
Cutler Bay, FL 33189-1215
Phone
(786) 231-0833
NPI assigned
Oct 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC005871 FL Primary

Addresses

Primary practice location

20505 S Dixie Hwy Ste 559
Cutler Bay, FL 33189-1215

Mailing address

13231 SW 22ND St
Miami, FL 33175-1134
Phone (305) 469-0341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250304001159 FL Practitioner - Optometry 1456872704 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005871FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lopez Opt LLC Optometrist CurrentSince Jan 31, 2025 Accepting new patients
Lopez Eye Care PA Optometrist CurrentSince Apr 1, 2025 Accepting new patients
America's Best Contacts & Eyeglasses PastSince Oct 19, 2020 Accepting new patients

Locations

3773 W Flagler St
Coral Gables, FL 33134
Phone (304) 400-8035

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1235737446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13231 SW 22ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751134",
            "telephone_number": "305-469-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20505 S DIXIE HWY STE 559",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891215",
            "telephone_number": "786-231-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GABRIEL",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC005871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

Verify at the official NPI Registry.