| Optica Lopez | |
|
648 W 181st St, New York, NY 10033-3801 | |
| (917) 388-3528 | |
| Not Available |
| Full Name | Optica Lopez |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 648 W 181st St, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063170959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jessica V Vaidya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235749045 PECOS PAC ID: 0345655213 Enrollment ID: I20210227000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Optica Lopez 648 W 181st St, New York, NY 10033-3801 Ph: (917) 388-3528 | Optica Lopez 648 W 181st St, New York, NY 10033-3801 Ph: (917) 388-3528 |
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