Gregory M Lopez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV004048 Issued in NY

Practice address

6288 Woodhaven Blvd
Rego Park, NY 11374-3738

Phone

(718) 478-2000

Fax

(718) 478-2001

NPI assigned

Jun 15, 2006

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyes & Optics Elmhurst Inc

  • Eyewear Supplier
  • Elmhurst, NY
  • NPI 1134487523
  Medicare reassignment NPD
• Queens Optometric Eyecare PC

  • Optometrist
  • Rego Park, NY
  • NPI 1487982039
  NPD (past) Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1700820255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6288 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743738",
            "telephone_number": "718-478-2000",
            "fax_number": "718-478-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6288 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743738",
            "telephone_number": "718-478-2000",
            "fax_number": "718-478-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GREGORY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00713346",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shih CHI Liu, PT
• Live in Motion Physical Therapy P.C.
• Liviu Georgescu Medical PC
• Maria del Rosario Loaiza, M.A., CCC/SLP
• Local RX Pharmacy LLC
• Melissa J Lopez, MS, OTR/L
• Patricia Lopez
• Rebecca Alma-Rosa Lopez, RN
• Santiago Alexander Lopez, MD
• Love Hope Physical Therapy PC

• Optometrist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.