DR. JACQUELINE LOPEZ OD
NPI 1083450829
Optometrist in Kissimmee, FL
About Dr. Jacqueline Lopez Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE LOPEZ OD (NPI 1083450829) is an individual optometrist in Kissimmee, Florida, licensed in Florida (6520) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacqueline Lopez Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33618
- Reassigned Medicare billing, Florida enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Lopez's NPI number?
The NPI number for Jacqueline Lopez is 1083450829. It was assigned to this individual provider in the NPPES registry on July 2, 2024.
Where is Jacqueline Lopez located?
Jacqueline Lopez practices at 3062 Dyer Blvd, Kissimmee, FL 34741. The listed phone number is (407) 343-6228.
What is Jacqueline Lopez's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jacqueline Lopez enrolled in Medicare?
Yes. Jacqueline Lopez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Lopez reassigns Medicare benefits to Treyefecta Vision Holdings, LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Lopez accept?
Health plans from AvMed, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health Maintenance Organization of Florida list Jacqueline 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 Jacqueline Lopez was last updated on July 3, 2024. 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.
# Dr. Jacqueline Lopez, OD · NPI 1083450829
Optometrist provider in Kissimmee, Florida. Individual provider, active in the CMS NPPES registry since July 2, 2024.
## Identity
- **NPI:** 1083450829 (Entity type: Individual)
- **Enumerated:** July 2, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 6520 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3062 DYER BLVD, Kissimmee, FL 34741-7839
- **Phone:** (407) 343-6228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Treyefecta Vision Holdings, LLC (NPI 1255707683, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083450829) · Data from the CMS NPPES public registry.