Edward M. Lopez

NPI #1760587455 in Clearfield, Pennsylvania

Provider Information

NPI Number: 1760587455
Entity Type: Organization
Organization Name: Edward M. Lopez
Primary Specialty: Optometrist
Enumeration Date: Sep 14, 2006
Last Updated: Dec 22, 2008

Practice Location

Address: 116 E PINE ST
City: Clearfield
State: Pennsylvania
ZIP Code: 16830-2541
Phone: (814) 765-6579

Authorized Official

Name: EDWARD MATTHEW LOPEZ, O.D.
Title: SOLE PROPRIETOR
Phone: (814) 765-6579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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