| Edward M. Lopez | |
| 
					116 E Pine St, Clearfield, PA 16830-2541  | |
| (814) 765-6579 | |
| (814) 765-6570 | 
| Full Name | Edward M. Lopez | 
|---|---|
| Type | Facility | 
| Speciality | Optometrist | 
| Location | 116 E Pine St, Clearfield, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760587455 | NPI | - | NPPES | 
| 001479858 0002 | Medicaid | PA | |
| 000875378 | Other | PA | HIGHMARK I.D. | 
| 000190509 | Other | PA | HIGHMARK I.D. | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OEG000025 (Pennsylvania) | Primary | 
| Provider Name | Edward M Lopez | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1629086871 PECOS PAC ID: 3577580711 Enrollment ID: I20101029000520  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward M. Lopez 116 E Pine St, Clearfield, PA 16830-2541 Ph: (814) 765-6579  | Edward M. Lopez 116 E Pine St, Clearfield, PA 16830-2541 Ph: (814) 765-6579  | 
Dr. Michael Guy Simpson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Super Center Drive, Clearfield, PA 16830 Phone: 814-765-5110  | |
Dr. James Scott Howard, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1710 R River Rd, Clearfield, PA 16830 Phone: 814-765-1103 Fax: 814-765-1981  | |
Edward Matthew Lopez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 116 E Pine St, Clearfield, PA 16830 Phone: 814-765-6579 Fax: 814-765-6570  | |
Dr. Nestor J. Paronish, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 100 Supercenter Dr, Clearfield, PA 16830 Phone: 814-765-5110  |