Active NPI
Edward Matthew Lopez, O.D.
- Optometrist
- Clearfield, PA
National Provider Identifier
1629086871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000025
- Practice address
- 116 E Pine St
Clearfield, PA 16830-2541 - Phone
- (814) 765-6579
- Fax
- (814) 765-6570
- NPI assigned
- Aug 4, 2006
- Last updated
- Oct 1, 2015
- Sex
- Male
- 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 | OEG000025 | PA | Primary |
Addresses
Primary practice location
116 E Pine St
Clearfield, PA 16830-2541
Mailing address
116 E Pine St
Clearfield, PA 16830-2541
Phone (814) 765-6579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001479858 0002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
116 E Pine St
Clearfield, PA 16830-2541
Phone (814) 765-6579
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward M. Lopez | Optometrist | Current | Accepting new patients |
Locations
116 E Pine St
Clearfield, PA 16830
Phone (814) 765-6579
Organizations & group practices 1
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": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1629086871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E PINE ST",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168302541",
"telephone_number": "814-765-6579",
"fax_number": "814-765-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E PINE ST",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168302541",
"telephone_number": "814-765-6579",
"fax_number": "814-765-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "EDWARD",
"middle_name": "MATTHEW",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001479858 0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.