Edward M. Lopez

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000025 Issued in PA

Legal business name

EDWARD M. LOPEZ

Practice address

116 E Pine St
Clearfield, PA 16830-2541

Phone

(814) 765-6579

Fax

(814) 765-6570

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Edward Matthew Lopez, O.D.NPI 1629086871

Title

Sole Proprietor

Phone

(814) 765-6579

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Clearfield Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Matthew Lopez, O.D.

  • Optometrist
  • Clearfield, PA
  • NPI 1629086871
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1760587455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E PINE ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302541",
            "telephone_number": "814-765-6579",
            "fax_number": "814-765-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E PINE ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302541",
            "telephone_number": "814-765-6579",
            "fax_number": "814-765-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. LOPEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "814-765-6579",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001479858 0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK I.D.",
            "identifier": "000875378",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK I.D.",
            "identifier": "000190509",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearfield Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.