Individual
DR. MATTHEW RYAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9820 W LOWER BUCKEYE RD, SUITE 101, TOLLESON, AZ 85353-1405
(407) 970-0974
Mailing address
15600 N FRANK LLOYD WRIGHT BLVD, APT. 1055, SCOTTSDALE, AZ 85260-2201
(407) 970-0974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1886
AZ
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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