Individual provider Active NPI

Jessica Emilie Lopez, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1356777338
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4808 Issued in FL
Practice address
11735 SW 147TH Ave
Ste 16
Miami, FL 33196-3312
Phone
(786) 953-8200
Fax
(786) 953-8647
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4808 FL Primary

Addresses

Primary practice location

11735 SW 147TH Ave
Ste 16
Miami, FL 33196-3312

Mailing address

11735 SW 147TH Ave
Ste 16
Miami, FL 33196-3312
Phone (786) 953-8200

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.49 of 100Reported as group
Quality
75.46
Promoting interoperability
79
Improvement activities
40
Cost
73.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aran Eye Associates PA Past Accepting new patients
Stanley D Braverman MD LLC Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.rodriguezod.p1@direct.araneyeassociates.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1356777338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 SW 147TH AVE",
            "address_2": "STE 16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963312",
            "telephone_number": "786-953-8200",
            "fax_number": "786-953-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 SW 147TH AVE",
            "address_2": "STE 16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963312",
            "telephone_number": "786-953-8200",
            "fax_number": "786-953-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JESSICA",
        "middle_name": "EMILIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.