Adriel Lopez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3360TG Issued in TX

Practice address

4436 Pack Saddle Pass
Suite B
Austin, TX 78745-1624

Phone

(512) 444-7200

Fax

(512) 444-7489

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1902837891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 PACK SADDLE PASS",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451624",
            "telephone_number": "512-444-7200",
            "fax_number": "512-444-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 PACK SADDLE PASS",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451624",
            "telephone_number": "512-444-7200",
            "fax_number": "512-444-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ADRIEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3360TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "1238",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112432303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lopez Wellness Center LLC
• Laura Lago Lopez-Concepcion, M.D.
• Antonio Lopez-de-Alda
• Taily Carmen Lopez-Ruiz, RD
• Abigail Lopez
• Allison J Lopez, MD
• Anasol Lopez
• Angela Melissa Lopez
• Ashley A Lopez
• Beverly Christina Lopez, DPT

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.