Organization Active NPI

Fernando Lopez MD SC

  • Ophthalmology Physician
  • Aurora, IL
National Provider Identifier
1659304004
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-104977 Issued in IL
Legal business name
FERNANDO LOPEZ MD SC
Practice address
143 South Lincoln Avenue
Suite J Aurora Medical Park
Aurora, IL 60505-4290
Phone
(630) 859-2680
Fax
(810) 454-2423
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Fernando Lopez, M.D.
Title
President
Phone
(630) 859-2680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036-104977 IL Primary

Addresses

Primary practice location

143 South Lincoln Avenue
Suite J Aurora Medical Park
Aurora, IL 60505-4290

Mailing address

143 South Lincoln Avenue
Suite J Aurora Medical Park
Aurora, IL 60505-4290
Phone (630) 859-2680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1659304004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SOUTH LINCOLN AVENUE",
            "address_2": "SUITE J AURORA MEDICAL PARK",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054290",
            "telephone_number": "630-859-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SOUTH LINCOLN AVENUE",
            "address_2": "SUITE J AURORA MEDICAL PARK",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605054290",
            "telephone_number": "630-859-2680",
            "fax_number": "810-454-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO LOPEZ MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-859-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-104977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.