Jacob D Lopez, OD Valid NPI

Individual provider · Optometrist · Rancho Cucamonga, CA

NPI

1316783103

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

35795-TLG (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-07-02

Last updated

2026-08-05