Jasmine Lopez, OD - Medicare Optometrist in Rockford, IL

Jasmine Lopez, OD is a medicare enrolled "Optometrist" provider in Rockford, Illinois. Her current practice location is 6430 E State St, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 708-8561.

Jasmine Lopez is licensed to practice in Illinois (license number 046.011799) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063291201.

Contact Information

Jasmine Lopez, OD
6430 E State St,
Rockford, IL 61108-2529
(815) 708-8561
Not Available



Healthcare Provider's Profile

Full NameJasmine Lopez
GenderFemale
SpecialityOptometrist
Location6430 E State St, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063291201
  • Provider Enumeration Date: 09/26/2023
  • Last Update Date: 09/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799135778
  • Enrollment ID: I20240103002583

Medical Identifiers

Medical identifiers for Jasmine Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063291201NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046.011799 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jasmine Lopez allows following entities to bill medicare on her behalf.
Provider NameMeyer Eyecare Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1114169745
PECOS PAC ID: 6305985961
Enrollment ID: O20091120000443

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine Lopez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jasmine Lopez, OD
6430 E State St,
Rockford, IL 61108-2529

Ph: () -
Jasmine Lopez, OD
6430 E State St,
Rockford, IL 61108-2529

Ph: (815) 708-8561

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Optometrist in Rockford, IL

Shah Vision Consultants Inc
Optometrist
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Practice Location: 575 S Perryville Rd, Rockford, IL 61108
Phone: 815-315-9358    Fax: 815-315-9358
Dr. Anna Katrina Pamula, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1603 N Alpine Rd Ste 121, Rockford, IL 61107
Phone: 815-397-5959    
Dr. Charvi D. Patel, OD
Optometrist
Medicare: Not Enrolled in Medicare
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Phone: 815-397-5959    
Dr. Vincent R Facchiano, OD
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: E265 Cherryvale Mall, Rockford, IL 61112
Phone: 815-332-2223    Fax: 815-332-4488
Center For Sight & Hearing
Optometrist
Medicare: Medicare Enrolled
Practice Location: 8038 Macintosh Ln, Rockford, IL 61107
Phone: 815-332-6800    Fax: 815-332-6810
Pearson Vision Care, Sc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 6560 E State St, Rockford, IL 61108
Phone: 815-218-6210    Fax: 815-227-1986
Judy Chanthalangsy, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 6560 E State St, Rockford, IL 61108
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