Individual provider Active NPI

Natalie Jackiw Machacek, OD

  • Optometrist
  • Northville, MI
National Provider Identifier
1124046669
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003822 Issued in MI
Practice address
18835 Traditions Dr
Northville, MI 48168-9495
Phone
(248) 305-1600
Fax
(248) 412-5248
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003822 MI Primary

Addresses

Primary practice location

18835 Traditions Dr
Northville, MI 48168-9495

Mailing address

PO Box 19060
Green Bay, WI 54307-9060
Phone (920) 429-7285

Other names 1

  • Ms. Natalie Jackiw-Sorce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000895 MI Practitioner - Optometry 4183704752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003822MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Jun 14, 2016 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jun 14, 2016 Accepting new patients

Locations

3552 Highway 138 SE
Ste 200
Stockbridge, GA 30281

6602 Telegraph Rd
Bloomfield Hills, MI 48301
Phone (248) 419-3500

355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

18835 Traditions Dr
Northville, MI 48168
Phone (248) 305-1600

41472 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6500

10791 Belleville Rd
Van Buren Township, MI 48111
Phone (734) 391-3080

2742 Washtenaw Rd
Ypsilanti, MI 48197
Phone (734) 572-8822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1124046669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19060",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543079060",
            "telephone_number": "920-429-7285",
            "fax_number": "920-429-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18835 TRADITIONS DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481689495",
            "telephone_number": "248-305-1600",
            "fax_number": "248-412-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKIW MACHACEK",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "JACKIW-SORCE",
            "prefix": "MS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.