DR. JACOB D LOPEZ OD
NPI 1316783103
Optometrist in Rancho Cucamonga, CA

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
10837 LAUREL ST STE 103, RANCHO CUCAMONGA, CA 91730(909) 477-8810 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2025, Jul 2, 2024 (2 updates tracked since 2024).

About Dr. Jacob D Lopez Od NPPES

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

DR. JACOB D LOPEZ OD (NPI 1316783103) is an individual optometrist in Rancho Cucamonga, California, licensed in California (35795-TLG) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2024).

NPPES Registry Identity

NPI1316783103
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACOB D LOPEZCredential: OD
Location Address10837 LAUREL ST STE 103Rancho Cucamonga, CA 91730-0632
Mailing Address22205 Rolling Hills LnYorba Linda, CA 92887-2710 · (714) 313-1366
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2024
Enumeration DateJuly 2, 2024
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1316783103 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 CA · 35795-TLG
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.

10837 LAUREL ST STE 103, Rancho Cucamonga, CA 91730

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

Dr. Jacob D 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 ID5698267599
PECOS Enrollment IDI20251126001928
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Jacob Lopez's NPI number?

The NPI number for Jacob Lopez is 1316783103. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Jacob Lopez located?

Jacob Lopez practices at 10837 Laurel St Ste 103, Rancho Cucamonga, CA 91730. The listed phone number is (909) 477-8810.

What is Jacob Lopez's specialty?

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

Is Jacob Lopez enrolled in Medicare?

Yes. Jacob 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.

When was this NPI record last updated?

The NPPES record for Jacob Lopez was last updated on November 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.