MEDICARE: LOPEZ OPTICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician

General Provider Information

NPI Number	:	1952315814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOPEZ OPTICAL INC

Provider Business Mailing Address
First Line	:	1340 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3904
Country	:	US
Telephone Number	:	305-858-5745
Fax Number	:	305-858-1955

Provider Business Practice Location Address
First Line	:	1340 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3904
Country	:	US
Telephone Number	:	305-858-5745
Fax Number	:	305-858-1955

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. TERESITA YANES
Credential	:
Telephone Number	:	305-858-5745

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/22/2020

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Directions to “LOPEZ OPTICAL INC ” Practice Location

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