MEDICARE: MARK T LOPEZ OD PC

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	152W00000X	Optometrist	CT856	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376715680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK T LOPEZ OD PC

Provider Business Mailing Address
First Line	:	1026 LONG COVE RD
Second Line	:	P.O. BOX 336
City	:	GALES FERRY
State	:	CT
Zip	:	06335-1812
Country	:	US
Telephone Number	:	860-464-6060
Fax Number	:

Provider Business Practice Location Address
First Line	:	1026 LONG COVE RD
Second Line	:
City	:	GALES FERRY
State	:	CT
Zip	:	06335-1812
Country	:	US
Telephone Number	:	860-464-6060
Fax Number	:	860-464-7013

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. MARK LOPEZ
Credential	:
Telephone Number	:	860-464-6060

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	02/04/2011

Similar Medicare Providers

1487648051 — MARK T LOPEZ O.D.P.C.
Practice Location Address:

1026 LONG COVE RD
GALES FERRY, CT
06335-1812

Practice Phone: 860-464-6060
Practice Fax: 860-464-7013

1083995229 — LINDSAY SAVAGE DPT
Practice Location Address:

1026 LONG COVE RD UNIT A
GALES FERRY, CT
06335-1812

Practice Phone: 203-200-0708
Practice Fax: 833-993-1356

1063529444 — HUDSON RIVERTOWNS CHIROPRACTIC HEALTH CARE
Practice Location Address:

88 ASHFORD AVE
DOBBS FERRY, NY
10522-1812

Practice Phone: 914-693-1408
Practice Fax: 914-693-1409

1699718296 — DR. PHILIP G STRIANO JR. D.C.
Practice Location Address:

88 ASHFORD AVE
DOBBS FERRY, NY
10522-1812

Practice Phone: 914-693-1408
Practice Fax: 914-693-1409

1346264843 — DR. RICHARD BRODSKY D.C.
Practice Location Address:

88 ASHFORD AVE
DOBBS FERRY, NY
10522-1812

Practice Phone: 914-646-9321
Practice Fax:

1235224858 — DR. RAJAT S SANYAL M.D.
Practice Location Address:

88 ASHFORD AVENUE
DOBBS FERRY, NY
10522-1812

Practice Phone: 914-478-0641
Practice Fax: 914-478-3479

Directions to “MARK T LOPEZ OD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.