Individual provider Active NPI

Christopher Lopez, OD

  • Optometrist
  • Clintonville, WI
National Provider Identifier
1922514447
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3644-35 Issued in WI
Practice address
45 10TH St
Clintonville, WI 54929-1540
Phone
(715) 823-5112
NPI assigned
Dec 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3644-35 WI Primary

Addresses

Primary practice location

45 10TH St
Clintonville, WI 54929-1540

Mailing address

1706 Woodland Ridge Rd
Wausau, WI 54403-2371
Phone (760) 222-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180620001784 NY Practitioner - Optometry 4880949536
I20201103000864 WI Practitioner - Optometry 4880949536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griebenow Eyecare, S.C.Group PAC ID 0941259501, 3 clinicians

Practice addresses (Care Compare)

105 Northridge Dr
New London, WI 54961-2703
Phone (920) 982-3711

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
76.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Griebenow Eyecare, S.C. Optometrist CurrentSince Apr 27, 2022 Accepting new patients
Minocqua Optical & Wellness LLC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Stine Eye Center, LLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Hull & Williquette, LTD CurrentSince Apr 1, 2021 Accepting new patients
Griebenow Eyecare, S.C. Optometrist CurrentSince Apr 27, 2022 Accepting new patients

Locations

45 10th St
Clintonville, WI 54929
Phone (715) 823-5112

105 Northridge Dr
New London, WI 54961
Phone (920) 982-3567

232 S Courtney St
Rhinelander, WI 54501
Phone (715) 365-1515

130 S Stevens St
Ste C
Rhinelander, WI 54501
Phone (715) 365-1515

1334 N 4th St
Ste 101
Tomahawk, WI 54487
Phone (715) 224-2200

1334 N 4th St
Tomahawk, WI 54487
Phone (715) 224-2200

4009 Community Center Dr
#100
Weston, WI 54476
Phone (715) 241-2020

4009 Community Center Dr
Weston, WI 54476
Phone (715) 241-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1922514447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 WOODLAND RIDGE RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544032371",
            "telephone_number": "760-222-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 10TH ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291540",
            "telephone_number": "715-823-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3644-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clintonville, WI

Sources for this page

Verify at the official NPI Registry.