Natalie Anne Fetchen

Primary specialty

OptometristTaxonomy code 152W00000X

License

35733 Issued in CA

Practice address

151 S Las Posas Rd Ste 171
San Marcos, CA 92078-2471

Phone

(760) 510-3130

NPI assigned

Jun 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kristopher Robert Skromme, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1437452950
  Medicare reassignment
• Mika E Fu O D Inc a California Professional Optometric Corporatio

  • Optometrist
  • San Marcos, CA
  • NPI 1871746982
  NPD

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1174367478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 W CANYON AVE APT 431",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234699",
            "telephone_number": "951-520-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S LAS POSAS RD STE 171",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782471",
            "telephone_number": "760-510-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETCHEN",
        "first_name": "NATALIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaredi Michelle Fernandez
• Yoali Fernandez
• Raquel J Ferrer
• Walter Ferris, LCSW
• Rachel Feskanich
• Fhae LLC
• Maria Filatoff
• Julie Fine, RCP, RRT-SDS
• Franchesca Fiorini, HAS
• First Serve Physical Therapy PC

• Optometrist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.

Verify at the official NPI Registry.