Organization
EDWARD M. LOPEZ
Active
Other names
Clearfield Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MATTHEW LOPEZ O.D. (SOLE PROPRIETOR)
(814) 765-6579
Entity
Organization
Contact information
Practice address
116 E PINE ST, CLEARFIELD, PA 16830-2541
(814) 765-6579
(814) 765-6570
Mailing address
116 E PINE ST, CLEARFIELD, PA 16830-2541
(814) 765-6579
(814) 765-6570
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000190509
HIGHMARK I.D.
PA
01
—
000875378
HIGHMARK I.D.
PA
05
—
001479858 0002
—
PA
Enumeration date
09/14/2006
Last updated
12/22/2008
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