Individual provider Active NPI

Ryan David Lopez, OD

  • Optometrist
  • Bellflower, CA
National Provider Identifier
1700400777
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34509 Issued in CA
Practice address
16816 Clark Ave
Bellflower, CA 90706-5702
Phone
(562) 925-6591
NPI assigned
Jun 4, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34509 CA Primary

Addresses

Primary practice location

16816 Clark Ave
Bellflower, CA 90706-5702

Mailing address

11725 Samoline Ave
Downey, CA 90241-4715
Phone (562) 659-3228

Other practice location 1

6930 Atlantic Ave
Bell, CA 90201-3647
Phone (323) 562-0055

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
I20200617001542 CA Practitioner - Optometry 1355763590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RDL Optometric ServicesGroup PAC ID 1456849181, 2 clinicians

Practice addresses (Care Compare)

13011 Newport Ave
Suite 101
Tustin, CA 92780-3516
Phone (714) 544-5282

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amplify Medical PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Optometric Vision Care Associates Inc Optometrist CurrentSince Jun 11, 2020 Accepting new patients
Buena Vista Eye Medical Center Inc. CurrentSince Jun 11, 2020 Accepting new patients
RDL Optometric Services Optometrist CurrentSince Sep 2, 2025 Accepting new patients

Locations

6930 Atlantic Ave
Bell, CA 90201
Phone (323) 562-0055

16816 Clark Ave
Bellflower, CA 90706
Phone (310) 925-6591

13011 Newport Ave
Ste 101
Tustin, CA 92780
Phone (714) 544-5087

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1700400777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 SAMOLINE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414715",
            "telephone_number": "562-659-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16816 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065702",
            "telephone_number": "562-925-6591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6930 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Bell",
            "state": "CA",
            "postal_code": "902013647",
            "country_code": "US",
            "telephone_number": "323-562-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.