Individual provider Active NPI

Natalia C. Noble, O.D.

  • Optometrist
  • Altamonte Springs, FL
National Provider Identifier
1063827228
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5064 Issued in FL
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141006002425 TX Practitioner - Optometry 0143440586 Reassigns benefits to 1 organization
I20150825005598 FL Practitioner - Optometry 0143440586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omega Vision Center PAGroup PAC ID 6002908647, 3 clinicians
Aeg Florida Professional PLLCGroup PAC ID 3870960032, 70 clinicians

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

LicenseStateTypeSpecialty
OPC5064FLMDOptometrist
9053197-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince Dec 7, 2022 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jul 29, 2014 Accepting new patients
Omega Vision Center PA Optometrist CurrentSince Jan 21, 2025 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Jul 29, 2014 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.

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

Verify at the official NPI Registry.