Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205192135 Individual Practitioner Male Practitioner

Dr. Michael Anthony Lopez , MD

Ophthalmology • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lopez, MD is a registered healthcare professional specializing in Ophthalmology in Dayton, OH. Practice services are available at 1 CHILDRENS PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Plz

Dayton, OH 454041873

Telephone 9376414000
Fax 9376414500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.3 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
24 Specialists

Practicing in Dayton, OH (803 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-11
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35.152105

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License FL ME123089

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist

NUCC Taxonomy Code: 207WX0110X

State License FL ME123089

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0078595 (OH)

Secondary Practice Locations

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9376414000

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376414000

403 Vonderburg Dr

Brandon, FL 335115982

Phone: 8136811122

5800 49th St N Ste S108

St Petersburg, FL 337092146

Phone: 7273903937

10080 Balaye Run Dr

Tampa, FL 336197902

Phone: 7277674393

3115 W Swann Ave

Tampa, FL 336094617

Phone: 8134922020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003808007

Doctor of Medicine (M.D.)

Dr. Ramakrishna Mutyala , MD

Pediatrics - Pediatric Gastroenterology

NPI 1013194802

Doctor of Medicine (M.D.)

Seth Kidwell , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1033533484

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Caitlyn Mccomb , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1033606017

Doctor of Medicine (M.D.)

Savana Howard , MS, NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1033675962

Master of Science, NNPBC

Lori Milliron , CPNP

Nurse Practitioner - Pediatrics

NPI 1043410830

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

20 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2025

Ophthalmology (License #35.152105 in OH)

📍
Updated Practice Location January 06, 2025

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376414000)

📍
Updated Business Mailing Address January 06, 2025

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376415072)

📍
Updated Practice Location November 03, 2022

Registered at 403 VONDERBURG DR, BRANDON, FL 335115982 (Tel: 8136811122)

📍
Updated Business Mailing Address November 03, 2022

Registered at 403 VONDERBURG DR, BRANDON, FL 335115982 (Tel: 8136811122)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Ophthalmology (License #ME123089 in FL)

📍
Updated Practice Location September 19, 2018

Registered at 601 5TH ST S STE 601, ST PETERSBURG, FL 337014804 (Tel: 7277674393)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2018

Ophthalmology (License #Q8289 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Ophthalmology (License #ME123089 in FL)

NPI Profile Active October 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2017

Registered at 10080 BALAYE RUN DR, TAMPA, FL 336197902 (Tel: 7277674393)

📍
Updated Business Mailing Address October 06, 2017

Registered at 601 5TH ST S STE 601, ST PETERSBURG, FL 337014804

👤
Provider Name / Credentials Updated October 06, 2017

Recorded as MICHAEL LOPEZ, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2017

Ophthalmology (License #ME123089 in FL)

NPI Profile Active July 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2016

Registered at 6701 FANNIN ST, SUITE 610.25, HOUSTON, TX 770302608 (Tel: 7137986044)

📍
Updated Business Mailing Address July 23, 2016

Registered at 6701 FANNIN ST, SUITE 610.25, HOUSTON, TX 770302608

👤
Provider Name / Credentials Updated July 23, 2016

Recorded as MICHAEL LOPEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2016

Ophthalmology (License #Q8289 in TX)

🟢
Initial NPI Registration & Enumeration April 04, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205192135
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2012
Last Update: November 11, 2025
Sole Proprietor: No

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376415072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.