Elena Lopez Chan

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5646 Issued in FL

Practice address

18500 Veterans Blvd Unit 4
Port Charlotte, FL 33954-1035

Phone

(941) 743-7449

NPI assigned

May 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: elenalopezchan@direct.revolutionehr.com

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.

• LC Eyecare Inc

  • Optometrist
  • Port Charlotte, FL
  • NPI 1588429211
  NPD Authorized official
• America'S Best Contacts & Eyeglasses

  • Optician
  • Cutler Bay, FL
  • NPI 1356780605
  NPD (past)

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1265099154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SW 4TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18500 VETERANS BLVD UNIT 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541035",
            "telephone_number": "941-743-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ CHAN",
        "first_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-26",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Luis Lomba, MD
• Ada Keung Lombardo, OTR
• Mohammad Rahil Lone, PHARMD
• Maria Loomis, APRN
• Gloria Carolina Lopez Alvarenga, MD
• Alberto Lopez de Castro Bolufer
• Anisabel D Lopez de Castro
• Elizabeth Lopez, PSY.D.
• Madeline Lopez
• Mario J Lopez, MD

• Optometrist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.