Natalene Agop
Individual provider Active NPI Optometrist · Lancaster, CA
NPI 1508499666 · NPPES record last updated Feb 12, 2021
Key facts
- NPI
- 1508499666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 34730 (CA)
- Practice address
- 44407 10TH St W
Lancaster, CA 93534-3345 - Phone
- (661) 942-3849
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34730 | CA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
44407 10TH St W
Lancaster, CA 93534-3345
Mailing address
44407 10TH St W
Ste B
Lancaster, CA 93534-3345
Phone (661) 942-3849
Other practice location 1
12156 Louise Ave
Granada Hills, CA 91344-1930
Phone (626) 755-5492
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.