| Mark T Lopez, ODPC | |
|
1026 Long Cove Rd, Gales Ferry, CT 06335-1812 | |
| (860) 464-6060 | |
| (860) 464-7013 |
| Full Name | Mark T Lopez |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1026 Long Cove Rd, Gales Ferry, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487648051 | NPI | - | NPPES |
| 004021507 | Medicaid | CT | |
| 090000856CT01 | Other | CT | BC/BS |
| 1487648051 | Other | CT | VSP VISION SERVICE PLAN |
| 0V2229 | Other | CT | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | CT856 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Lopez, ODPC 1026 Long Cove Rd, Gales Ferry, CT 06335-1812 Ph: (860) 464-6060 | Mark T Lopez, ODPC 1026 Long Cove Rd, Gales Ferry, CT 06335-1812 Ph: (860) 464-6060 |
Eyecare Expressions Optometrist Medicare: Medicare Enrolled Practice Location: 1663 Route 12, Gales Ferry, CT 06335 Phone: 860-464-1040 Fax: 860-464-1044 | |
Mark T Lopez Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1026 Long Cove Rd, Gales Ferry, CT 06335 Phone: 860-464-6060 Fax: 860-464-7013 | |
Dr. Jeanette Jezick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1663 Route 12, Gales Ferry, CT 06335 Phone: 860-464-1040 Fax: 860-464-1044 |