Carlos Waldo Montanez Lopez, OD in White Lake, MI

Carlos Waldo Montanez Lopez, OD is a medicare enrolled "Optometrist" provider in White Lake, Michigan. His current practice location is Walmart Vision Center, 9190 Highland Rd., White Lake, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 698-9782.

Carlos Waldo Montanez Lopez is licensed to practice in Michigan (license number 4901004946) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740449529.

Contact Information

	Carlos Waldo Montanez Lopez, OD
	Walmart Vision Center, 9190 Highland Rd., White Lake, MI 48386
	(248) 698-9782
	(248) 698-9785

Map and Direction

Healthcare Provider's Profile

Full Name	Carlos Waldo Montanez Lopez
Gender	Male
Speciality	Optometrist
Location	Walmart Vision Center, White Lake, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740449529
Provider Enumeration Date: 06/05/2008
Last Update Date: 05/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3870882954
Enrollment ID: I20160512000874

Medical Identifiers

Medical identifiers for Carlos Waldo Montanez Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740449529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	188 (Puerto Rico)	Secondary
152W00000X	Optometrist	4901004946 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carlos Waldo Montanez Lopez allows following entities to bill medicare on his behalf.

Provider Name	Visionworks Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366822991 PECOS PAC ID: 4385639616 Enrollment ID: O20151002002485

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos Waldo Montanez Lopez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carlos Waldo Montanez Lopez, OD P.o. Box 701, Manchester, MI 48158 Ph: (734) 355-4673	Carlos Waldo Montanez Lopez, OD Walmart Vision Center, 9190 Highland Rd., White Lake, MI 48386 Ph: (248) 698-9782

Reviews and Comments

Optometrist in White Lake, MI

National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9058 Highland Rd, White Lake, MI 48386 Phone: 248-599-6390
John Gaffka Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9190 Highland Rd, White Lake, MI 48386 Phone: 248-698-9782
John Gaffka, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9190 Highland Rd, White Lake, MI 48386 Phone: 248-698-9782 Fax: 248-698-9785

Carlos Waldo Montanez Lopez, OD - Medicare Optometrist in White Lake, MI