| Jasmine Lopez, OD | |
|
6430 E State St, Rockford, IL 61108-2529 | |
| (815) 708-8561 | |
| Not Available |
| Full Name | Jasmine Lopez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 6430 E State St, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063291201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.011799 (Illinois) | Primary |
| 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 |
Shah Vision Consultants Inc Optometrist Medicare: Medicare Enrolled Practice Location: 575 S Perryville Rd, Rockford, IL 61108 Phone: 815-315-9358 Fax: 815-315-9358 | |
Dr. Anna Katrina Pamula, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1603 N Alpine Rd Ste 121, Rockford, IL 61107 Phone: 815-397-5959 | |
Dr. Charvi D. Patel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1603 N Alpine Rd, Suite 121, Rockford, IL 61107 Phone: 815-397-5959 | |
Dr. Vincent R Facchiano, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: E265 Cherryvale Mall, Rockford, IL 61112 Phone: 815-332-2223 Fax: 815-332-4488 | |
Center For Sight & Hearing Optometrist Medicare: Medicare Enrolled Practice Location: 8038 Macintosh Ln, Rockford, IL 61107 Phone: 815-332-6800 Fax: 815-332-6810 | |
Pearson Vision Care, Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6560 E State St, Rockford, IL 61108 Phone: 815-218-6210 Fax: 815-227-1986 | |
Judy Chanthalangsy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6560 E State St, Rockford, IL 61108 Phone: 815-997-0164 |