Active NPI
Viviana Del C. Lopez, O.D.
- Optometrist
- Kissimmee, FL
National Provider Identifier
1447583950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 4500
- Practice address
- 1028 E Osceola Pkwy
Kissimmee, FL 34744-1607 - Phone
- (407) 483-5906
- Fax
- (407) 483-5908
- NPI assigned
- Sep 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4500 | FL | Primary |
Addresses
Primary practice location
1028 E Osceola Pkwy
Kissimmee, FL 34744-1607
Mailing address
1028 E Osceola Pkwy
Kissimmee, FL 34744-1607
Phone (407) 483-5906
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drlopez@magrudereye.imwdirect.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4500 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Avenue Ophthalmics, PLLC | Optometrist | Current | Accepting new patients |
| Osceola Optical & Eye Care | Optometrist | Current | Accepting new patients |
| Park Avenue Ophthalmics, PLLC | Optometrist | Current | Accepting new patients |
| Magruder Eye Institute, PLLC | Current | Accepting new patients |
Locations
2269 E Semoran Blvd
Apopka, FL 32703
Phone (407) 886-2093
1028 E Osceola Pkwy
Kissimmee, FL 34744
Phone (407) 483-5906
2065 E Osceola Pkwy
Kissimmee, FL 34743
Phone (407) 344-3603
1911 N Mills Ave
Orlando, FL 32803
Phone (407) 893-8200
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.
-
- Ophthalmology Physician
- Orlando, FL
- NPI 1881661692
-
- Optometrist
- Apopka, FL
- NPI 1629272265
-
- Optometrist
- Kissimmee, FL
- NPI 1952608200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1447583950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347441607",
"telephone_number": "407-483-5906",
"fax_number": "407-483-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347441607",
"telephone_number": "407-483-5906",
"fax_number": "407-483-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "VIVIANA",
"middle_name": "DEL C.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drlopez@magrudereye.imwdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "1028 E Osceola Pkwy",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347441607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.