Individual provider Active NPI

Raul Lopez, LDO

  • Optician
  • Hialeah, FL
National Provider Identifier
1871841064
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO6361 Issued in FL
Practice address
1550 W 84TH St Ste 15
Hialeah, FL 33014-3368
Phone
(786) 587-7404
NPI assigned
Aug 21, 2012
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO6361 FL Primary

Addresses

Primary practice location

1550 W 84TH St Ste 15
Hialeah, FL 33014-3368

Mailing address

1550 W 84TH St Ste 15
Hialeah, FL 33014-3368
Phone (786) 587-7404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DO6361FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Vision Care, Inc. Optician Past Accepting new patients
Express Vision Care, Inc. Optician Past Accepting new patients
Express Vision Care, Inc. Optician Past Accepting new patients
Express Vision Care, Inc. Optician Past Accepting new patients

Organizations & group practices 5

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1871841064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST STE 15",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143368",
            "telephone_number": "786-587-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W 84TH ST STE 15",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330143368",
            "telephone_number": "786-587-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.