Individual provider Active NPI

Debbie Lopez, OD

  • Optometrist
  • Canoga Park, CA
National Provider Identifier
1487221677
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34813TLG Issued in CA
Practice address
6600 Topanga Canyon Blvd Unit 49a
Canoga Park, CA 91303-2611
Phone
(818) 348-7700
NPI assigned
Jun 7, 2021
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34813TLG CA Primary

Addresses

Primary practice location

6600 Topanga Canyon Blvd Unit 49a
Canoga Park, CA 91303-2611

Mailing address

6600 Topanga Canyon Blvd Unit 49a
Canoga Park, CA 91303-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221215002449 CA Practitioner - Optometry 1658740535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34813TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Strickland Optometric Management Corporation Optometrist CurrentSince Dec 6, 2022 Accepting new patients
Luxottica of America Inc PastSince Oct 24, 2021 Accepting new patients

Locations

12737 Glenoaks Blvd
Ste 3
Sylmar, CA 91342
Phone (818) 367-1015

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1487221677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 TOPANGA CANYON BLVD UNIT 49A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 TOPANGA CANYON BLVD UNIT 49A",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032611",
            "telephone_number": "818-348-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DEBBIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34813TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.