Individual provider Active NPI

Natalene Agop

  • Optometrist
  • Lancaster, CA
National Provider Identifier
1508499666
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34730 Issued in CA
Practice address
44407 10TH St W
Lancaster, CA 93534-3345
Phone
(661) 942-3849
NPI assigned
Feb 18, 2020
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34730 CA Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34730CAMDChiropractor

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1508499666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44407 10TH ST W",
            "address_2": "STE B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343345",
            "telephone_number": "661-942-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44407 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343345",
            "telephone_number": "661-942-3849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12156 Louise Ave",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913441930",
            "country_code": "US",
            "telephone_number": "626-755-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOP",
        "first_name": "NATALENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34730",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.