Alex Lopez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011594 Issued in IL

Practice address

20006 Wolf Rd
Mokena, IL 60448-1320

Phone

(708) 478-1022

NPI assigned

Nov 15, 2021

Last updated

Nov 18, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absolute Vision Care II LTDGroup PAC ID 0244366375, 3 clinicians

Absolute Vision Care III, Inc.Group PAC ID 6305991795, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Vision Care II LTD

  • Optometrist
  • Mokena, IL
  • NPI 1245313626
  Medicare reassignment Care Compare group NPD
• Absolute Vision Care III, Inc.

  • Optometrist
  • Manhattan, IL
  • NPI 1891922100
  Medicare reassignment Care Compare group NPD
• Absolute Vision Care LTD

  • Optometrist
  • Palos Heights, IL
  • NPI 1386735884
  Medicare reassignment NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1851057798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21712 KELLY ANN LN",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604047684",
            "telephone_number": "779-225-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20006 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481320",
            "telephone_number": "708-478-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Market Pl",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "IL",
            "postal_code": "604428100",
            "country_code": "US",
            "telephone_number": "815-478-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5553 127th St",
            "address_purpose": "LOCATION",
            "city": "Crestwood",
            "state": "IL",
            "postal_code": "604181123",
            "country_code": "US",
            "telephone_number": "708-371-5160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Livestrong Medical PLLC
• Livin' Free Therapy, LLC
• Jalinia Logan, LCSW
• Jena M Lohrens, M.A., CCC-SLP
• Lauren Long, AU.D, CCC-A
• Maria Teresa Lopez
• Tyler Loranger, RD LDN
• Deborah Mary Lynch
• Violetta A. Magiera, FNP-C
• Taryn Lee Majewski, O.D.

• Optometrist in Mokena, IL
• Providers in Mokena, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.