Organization Active NPI

Fernando F. Lopez, M.D., S.C.

  • Ophthalmology Physician
  • Aurora, IL
National Provider Identifier
1295804458
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-104977 Issued in IL
Legal business name
FERNANDO F. LOPEZ, M.D., S.C.
Practice address
143 South Lincoln Avenue, Suite J
Aurora Medical Park
Aurora, IL 60505-4290
Phone
(630) 859-2680
Fax
(810) 454-2423
NPI assigned
Nov 6, 2006
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Fernando F Lopez, M.D.NPI 1013941657
Title
President
Phone
(630) 859-2680

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
Ophthalmology Physician 207W00000X 036-104977 IL Primary

Addresses

Primary practice location

143 South Lincoln Avenue, Suite J
Aurora Medical Park
Aurora, IL 60505-4290

Mailing address

143 South Lincoln Avenue, Suite J
Aurora Medical Park
Aurora, IL 60505-4290
Phone (630) 859-2680

National Provider Directory

National Provider Directory

Locations

143 S Lincoln Ave
Ste J
Aurora, IL 60505
Phone (630) 859-2680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1295804458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SOUTH LINCOLN AVENUE, SUITE J",
            "address_2": "AURORA MEDICAL PARK",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054290",
            "telephone_number": "630-859-2680",
            "fax_number": "810-454-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SOUTH LINCOLN AVENUE, SUITE J",
            "address_2": "AURORA MEDICAL PARK",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054290",
            "telephone_number": "630-859-2680",
            "fax_number": "810-454-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO F. LOPEZ, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-859-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-104977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.