Individual provider Active NPI

Michael J Lopykinski, OD

  • Optometrist
  • Deerfield Beach, FL
National Provider Identifier
1396731477
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4152 Issued in FL
Practice address
100 S Military TRL
Suite 6
Deerfield Beach, FL 33442-3015
Phone
(954) 708-2232
Fax
(954) 708-2232
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009644 IL
Optometrist 152W00000X OPC 4152 FL Primary

Addresses

Primary practice location

100 S Military TRL
Suite 6
Deerfield Beach, FL 33442-3015

Mailing address

11315 NW 43Rd PL
Coral Springs, FL 33065-7220
Phone (815) 685-1334

Other identifiers 1

IdentifierTypeStateIssuer
046009644MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180125001135 TN Practitioner - Optometry 0446226062 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009644ILMDOptometrist
3366TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist CurrentSince Sep 2, 2017 Accepting new patients
Dr. Mark Lynn & Associates, PLLC Optometrist CurrentSince Sep 2, 2017 Accepting new patients
TN Doctors of Optometry, PLLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients

Locations

1701 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-2000

841 Industrial Blvd
Smyrna, TN 37167
Phone (615) 220-6108

2012 Crossings Cir
Ste B
Spring Hill, TN 37174
Phone (931) 489-9151

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1396731477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 NW 43RD PL",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657220",
            "telephone_number": "815-685-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "SUITE 6",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423015",
            "telephone_number": "954-708-2232",
            "fax_number": "954-708-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPYKINSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009644",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009644",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.