Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jasmine Lopez, OD

Individual provider Optometrist · NPI 1063291201

Jasmine Lopez, OD is an Optometry in Rockford, Illinois. Qualified in 2023, 3 years ago. Practices with Meyer Eyecare Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6430 E State St
Rockford, IL 61108-2529
Phone: (815) 708-8561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13114 Western Ave, Blue Island, IL 60406-2439 — (708) 388-1228

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.011799 (IL)

Record details

NPI number1063291201
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateAugust 18, 2023
Mailing address6430 E State St, Rockford, IL 61108-2529

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Meyer Eyecare Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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