Mark T Lopez, ODPC
Optometrist in Gales Ferry, Connecticut
1487648051- Practice location
- 1026 Long Cove RD, Gales Ferry, CT 06335-1812
- Phone
- 860-464-6060
- Fax
- 860-464-7013
- Last updated
- February 23, 2010
Mark T Lopez is an Optometrist based in Gales Ferry, CT. Mark T Lopez practices in Gales Ferry, CT and has the professional credentials of ODPC. The NPI Number for Mark T Lopez is 1487648051 and holds a License No. CT856 (CT). The current practice location address for Mark T Lopez 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
- 1487648051
- Provider Name
- Mark T Lopez
- Credential
- ODPC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1026 Long Cove RD, Gales Ferry, CT 06335-1812
- Phone Number
- 860-464-6060
- Fax Number
- 860-464-7013
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 9, 2005
- Last Update Date
- February 23, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1026 Long Cove RD
Gales Ferry, CT 06335-1812 - City
- Gales Ferry
- State
- Connecticut
- Zip
- 06335-1812
- Phone Number
- 860-464-6060
- Fax Number
- 860-464-7013
Provider Business Mailing Address Details
- Address
- 1026 Long Cove RD
Gales Ferry, CT 06335-1812 - City
- Gales Ferry
- State
- CT
- Zip
- 06335-1812
- Phone Number
- 860-464-6060
- Fax Number
- 860-464-7013
License Information
- License Number
- CT856
- License State
- CT
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Gales Ferry, CT
View all Optometrists in Gales Ferry →Frequently Asked Questions
What is the NPI number of Mark T Lopez, ODPC?
The NPI number of Mark T Lopez, ODPC is 1487648051. It was assigned on September 9, 2005 and is currently active in the NPPES registry.
What is the specialty of Mark T Lopez, ODPC?
Mark T Lopez, ODPC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number CT856.
Where does Mark T Lopez, ODPC 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 1487648051 directly on the NPPES registry website.