Active NPI
Marlon Lopez, LDO
- Optician
- Flemington, NJ
National Provider Identifier
1669218988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 31TD00412500
- Practice address
- 152 Route 31
Flemington, NJ 08822-5734 - Phone
- (908) 788-7587
- NPI assigned
- Jul 5, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 31TD00412500 | NJ | Primary |
Addresses
Primary practice location
152 Route 31
Flemington, NJ 08822-5734
Mailing address
38 Iris Rd
Levittown, PA 19057-2724
Phone (908) 397-6468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31TD00412500 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1669218988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 IRIS RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190572724",
"telephone_number": "908-397-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 ROUTE 31",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088225734",
"telephone_number": "908-788-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MARLON",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-05",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "31TD00412500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flemington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.