Dr Irma Liliana Lopez, OD | |
11104 Liberty Ave, South Richmond Hill, NY 11419-1812 | |
(718) 641-3450 | |
Not Available |
Full Name | Dr Irma Liliana Lopez |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 11104 Liberty Ave, South Richmond Hill, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679791065 | NPI | - | NPPES |
02602862 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV006453-1 (New York) | Primary |
Provider Name | Jireh Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225743677 PECOS PAC ID: 6800269325 Enrollment ID: O20230303001941 |
Mailing Address | Practice Location Address |
---|---|
Dr Irma Liliana Lopez, OD 11110 Liberty Ave, Unit 1a2, South Richmond Hill, NY 11419-1812 Ph: (718) 641-3450 | Dr Irma Liliana Lopez, OD 11104 Liberty Ave, South Richmond Hill, NY 11419-1812 Ph: (718) 641-3450 |
Dr. Jocelyn Tan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12714 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-845-6888 | |
Dr. Asi Ressler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12714 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-845-6888 Fax: 718-845-9708 | |
Liberty Eyecare Corp Optometrist Medicare: Medicare Enrolled Practice Location: 11702 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-517-9191 Fax: 718-129-9199 | |
Dr. Natalie Bissoon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12015 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-843-2156 Fax: 718-843-2691 | |
Jireh Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 11110 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-641-3450 Fax: 718-641-3792 | |
Fabulous Optical Optometrist Medicare: Medicare Enrolled Practice Location: 12102 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-835-3400 | |
Complete Optometry Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12015 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-843-2156 |