Anthony Ryan Lopez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60478733 Issued in WA

Practice address

3815 56TH Street CT NW
Gig Harbor, WA 98335-7120

Phone

(253) 970-4493

NPI assigned

Nov 16, 2011

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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 WA

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

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Port Orchard Eyecare Centers Inc, PSGroup PAC ID 4385620202, 3 clinicians

20/20 Eyecare Centers Inc PSGroup PAC ID 9638140072, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 20/20 Eyecare Centers Inc PS

  dba Eyeland Optical

  • Optometrist
  • Vashon, WA
  • NPI 1134292915
  Medicare reassignment Care Compare group NPD
• Port Orchard Eyecare Centers Inc, PS

  dba 20/20 Eyecare Centers

  • Optometrist
  • Port Orchard, WA
  • NPI 1326111501
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1477820660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 56TH STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357120",
            "telephone_number": "253-970-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 56TH STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357120",
            "telephone_number": "253-970-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANTHONY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60478733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Orange Bridge Counseling, PLLC
• Rebecca Llloyd
• Lock, O.D. PLLC
• Shelley Maria Lockwood, ARNP
• Lisa Louise Longano, MD
• Karla Iveth Lopez, MC56463
• Rebekah W Louie, O.D.
• Love the Belly Midwifery & Women's Health, LLC
• Lowell C Finkleman MD PS
• Claire Lower

• Optometrist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.