Active NPI
Natalia C. Noble, O.D.
- Optometrist
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5064
- Practice address
- 160 Boston Ave
Altamonte Springs, FL 32701-4706 - Phone
- (407) 339-0303
- Fax
- (407) 339-0961
- NPI assigned
- Jun 26, 2014
- Last updated
- May 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9053197-9934 | UT | |
| Optometrist | 152W00000X | OPC5064 | FL | Primary |
Addresses
Primary practice location
160 Boston Ave
Altamonte Springs, FL 32701-4706
Mailing address
160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 775-7654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 E Lake Brantley Dr
Longwood, FL 32779-4806
Phone (407) 869-4733
1155 Winter Garden Vineland Rd
10 Macali Eye Clinic
Winter Garden, FL 34787-4375
Phone (407) 656-3755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5064 | FL | MD | Optometrist |
| 9053197-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Florida Professional PLLC | Optometrist | Current | Accepting new patients |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Omega Vision Center PA | Optometrist | Current | Accepting new patients |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current | Accepting new patients |
Locations
4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991
105 E Lake Brantley Dr
Longwood, FL 32779
Phone (407) 868-4733
1155 Winter Garden Vineland Rd
Ste 102
Winter Garden, FL 34787
Phone (407) 656-3755
7201 Aloma Ave
Winter Park, FL 32792
Phone (407) 671-3100
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
Networks
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Jacksonville, FL
- NPI 1164156246
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
dba Tohatchi Health Center
- Federal Public Health Clinic/Center
- Tohatchi, NM
- NPI 1902875594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1063827228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BOSTON AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014706",
"telephone_number": "407-775-7654",
"fax_number": "407-834-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 BOSTON AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014706",
"telephone_number": "407-339-0303",
"fax_number": "407-339-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "NATALIA",
"middle_name": "C.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "9053197-9934",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.