Dr. Melissa Marie Lopez, OD
Optometrist in Lakeville, MN. Individual provider (NPI-1).
NPI number1114405271
StatusActive
Last updated in NPPESAug 1, 2018
Details
- NPI
- 1114405271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Melissa Marie Lopez
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2018
- Last updated
- Aug 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3590 | MN | Yes |
Practice location
18275 Kenrick AveLakeville, MN 55044-7306
Phone 952-892-0028
Mailing address
1078 Cherokee AveWest St Paul, MN 55118-1101
Phone 651-604-7025
Other practice locations
8900 Minnesota 7
St. Louis Park, MN 55426
St. Louis Park, MN 55426
Phone 952-933-4858
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 29 Optometrist providers in Lakeville · All 1,079 providers in Lakeville
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