Ericka Michelle Lopez, OD

NPI #1043920499 in Melbourne, Florida

Provider Information

NPI Number: 1043920499
Entity Type: Individual
Name: Ericka Michelle Lopez, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 28, 2022
Last Updated: Nov 30, 2022

Practice Location

Address: 4100 N WICKHAM RD STE 120
City: Melbourne
State: Florida
ZIP Code: 32935-2483
Phone: (321) 701-6072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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