Irma Liliana Lopez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006453-1 Issued in NY

Practice address

11104 Liberty Ave
South Richmond Hill, NY 11419-1812

Phone

(718) 641-3450

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

New England College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jireh Eye Care LLC

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1225743677
  Medicare reassignment NPD Authorized official
• 786 United Inc.

  • Optometrist
  • South Richmond Hill, NY
  • NPI 1679629711
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1679791065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 LIBERTY AVE",
            "address_2": "UNIT 1A2",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191812",
            "telephone_number": "718-641-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191812",
            "telephone_number": "718-641-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "IRMA",
        "middle_name": "LILIANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006453-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02602862",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Specs
• Liberty Urgent Care, LLP
• Rozella Limerick, LPN
• Little Guyana Pharmacy & Cafe Inc
• Versha Dodwani Lohana
• Semyon Lorberg, RPH
• Martha Louis, M.D.
• Dolly Mahabir, OPTICIAN
• Amy Maharaj, LMT
• Ayesha Majeed

• Optometrist in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.