Jasmine Lopez, OD Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1063291201
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046.011799 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-09-26
- Last updated
- 2023-09-26
Practice location
6430 E State St
Rockford, IL 61108-2529
(815) 708-8561