Individual
PERRY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4040 E 82ND ST, C-7, INDIANAPOLIS, IN 46250-4360
(317) 595-8855
(317) 595-8866
Mailing address
4040 E 82ND ST, C-7, INDIANAPOLIS, IN 46250-4360
(317) 595-8855
(317) 595-8866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002200B
IN
152WC0802X
Corneal and Contact Management Optometrist
Primary
18002200B
IN
Other
Enumeration date
10/03/2006
Last updated
09/11/2025
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