Active NPIOrganization

Mark T Lopez OD PC

Optometrist in Gales Ferry, Connecticut

NPI Number1376715680
Practice location
1026 Long Cove RD, Gales Ferry, CT 06335-1812
Fax
860-464-7013
Last updated
February 4, 2011

Mark T Lopez OD PC is a healthcare organization based in Gales Ferry, CT. Mark T Lopez OD PC practices in Gales Ferry, CT. The NPI Number for Mark T Lopez OD PC is 1376715680 and holds a License No. CT856 (CT). The current practice location address for Mark T Lopez OD PC is 1026 Long Cove RD, Gales Ferry, CT 06335-1812 and can be reached out via phone at 860-464-6060 and via fax at 860-464-7013.

Provider Profile Details

NPI Number
1376715680
Provider Name
Mark T Lopez OD PC
Provider Entity Type
Organization
Address
1026 Long Cove RD, Gales Ferry, CT 06335-1812
Phone Number
860-464-6060
Fax Number
860-464-7013
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Mark Lopez · Doctor · 860-464-6060
Provider Enumeration Date
March 26, 2008
Last Update Date
February 4, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1026 Long Cove RD
Gales Ferry, CT 06335-1812
Zip
06335-1812
Phone Number
860-464-6060
Fax Number
860-464-7013
Gales Ferry, CT 06335Get directions →

Provider Business Mailing Address Details

Address
1026 Long Cove RD
P.o. Box 336
Gales Ferry, CT 06335-1812
City
Gales Ferry
State
CT
Zip
06335-1812
Phone Number
860-464-6060

License Information

License Number
CT856
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark T Lopez OD PC?

The NPI number of Mark T Lopez OD PC is 1376715680. It was assigned on March 26, 2008 and is currently active in the NPPES registry.

What is the specialty of Mark T Lopez OD PC?

Mark T Lopez OD PC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number CT856.

Where does Mark T Lopez OD PC practice?

The practice location is 1026 Long Cove RD, Gales Ferry, CT 06335-1812. The office can be reached at 860-464-6060 (phone) or 860-464-7013 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376715680 directly on the NPPES registry website.

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