| Jasmine Lopez, OD | |
|
6430 E State St, Rockford, IL 61108-2529 | |
| (815) 708-8561 | |
| Not Available |
| Full Name | Jasmine Lopez |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 3 Years |
| Location | 6430 E State St, Rockford, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063291201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.011799 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vep Il Optometric Llc | 3678814217 | 25 |
| Meyer Eyecare Inc | 6305985961 | 3 |
| Provider Name | Meyer Eyecare Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114169745 PECOS PAC ID: 6305985961 Enrollment ID: O20091120000443 |
| Provider Name | Vep Il Optometric Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528536620 PECOS PAC ID: 3678814217 Enrollment ID: O20190409002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Lopez, OD 6430 E State St, Rockford, IL 61108-2529 Ph: () - | Jasmine Lopez, OD 6430 E State St, Rockford, IL 61108-2529 Ph: (815) 708-8561 |
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