Individual provider Active NPI

Natalie Maiorca, OD, MS

  • Optometrist
  • Westlake, OH
National Provider Identifier
1245853829
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6853 Issued in OH
Practice address
26927 Detroit Rd
Westlake, OH 44145-2370
Phone
(440) 892-5367
Fax
(440) 249-5094
NPI assigned
May 18, 2020
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6853 OH Primary

Addresses

Primary practice location

26927 Detroit Rd
Westlake, OH 44145-2370

Mailing address

26927 Detroit Rd
Westlake, OH 44145-2370
Phone (440) 892-5367

Other names 1

  • Natalie Montecalvo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200909003084 OH Practitioner - Optometry 4284052127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Eye Care Associates IncGroup PAC ID 9234123084, 7 clinicians

Practice addresses (Care Compare)

26927 Detroit Rd
Westlake, OH 44145-2370
Phone (440) 892-5367

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6853OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Eye Care Associates Inc Optometrist CurrentSince Jul 7, 2023 Accepting new patients
Robert M. Stern MD Inc PastSince Dec 1, 2020 Accepting new patients

Locations

17520 Madison Ave
Lakewood, OH 44107
Phone (216) 228-3343

26927 Detroit Rd
Westlake, OH 44145
Phone (440) 892-5367

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, 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": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1245853829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26927 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452370",
            "telephone_number": "440-892-5367",
            "fax_number": "440-249-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26927 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452370",
            "telephone_number": "440-892-5367",
            "fax_number": "440-249-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIORCA",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "MONTECALVO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.