JASMINE LOPEZ OD
NPI 1063291201
Optometrist in Rockford, IL

Q: What is Jasmine Lopez's NPI number?

The NPI number for Jasmine Lopez is 1063291201. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Q: What is Jasmine Lopez's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jasmine Lopez was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2023PECOS EnrolledAccepts Medicare Assignment

6430 E STATE ST, ROCKFORD, IL 61108(815) 708-8561 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jasmine Lopez Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE LOPEZ OD (NPI 1063291201) is an individual optometrist in Rockford, Illinois, licensed in Illinois (046.011799) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Blue Island, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063291201

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJASMINE LOPEZCredential: OD

Location Address6430 E STATE STRockford, IL 61108-2529

Mailing Address6430 E State StRockford, IL 61108-2529

Phone(815) 708-8561

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 26, 2023

NPPES CertifiedAugust 18, 2023

✔ NPI 1063291201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046.011799

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

6430 E STATE ST, Rockford, IL 61108

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Secondary Practice Location 1

Location 113114 Western AveBlue Island, IL 60406-2439 · Phone (708) 388-1228

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jasmine Lopez Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799135778

PECOS Enrollment IDI20240103002583

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAN JALOTA OD

Optometrist

6430 E STATE ST
ROCKFORD, IL 61108

Winnebago County (815) 708-8561

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmine Lopez's NPI number?

The NPI number for Jasmine Lopez is 1063291201. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Jasmine Lopez located?

Jasmine Lopez practices at 6430 E State St, Rockford, IL 61108. The listed phone number is (815) 708-8561.

What is Jasmine Lopez's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jasmine Lopez enrolled in Medicare?

Yes. Jasmine Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jasmine Lopez accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jasmine Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasmine Lopez was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.