Matthew Ryan Lopez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1886 Issued in AZ

Practice address

9820 W Lower Buckeye Rd
Suite 101
Tolleson, AZ 85353-1405

Phone

(407) 970-0974

NPI assigned

Oct 18, 2012

Sex

Male

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

Enrolled in AZ

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

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care Arizona PLLCGroup PAC ID 6204109648, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1639875826
  Medicare reassignment Care Compare group NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1710417514
  NPD
• America'S Best Contacts & Eyeglasses

  • Optician
  • Tucson, AZ
  • NPI 1427391572
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1477806255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "APT. 1055",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602201",
            "telephone_number": "407-970-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 W LOWER BUCKEYE RD",
            "address_2": "SUITE 101",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531405",
            "telephone_number": "407-970-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LLC Deeply Rooted Family & Life Services
• Jamilah Q Logan, PH.D.
• Anastasia Jessica Lopez, LPN
• Gustavo A Lopez, MD
• Johanna Lizette Lopez, PHARMD
• Denna L Lorona, SLPA
• Kristen Jo Lorton, MA
• Wendy Lotegeluaki, CNM
• Love Abides LLC
• Donna Lucero, FNP-C

• Optometrist in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.
• 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.