Provider Demographics
NPI:1396032645
Name:NATALIYA A. WORSLEY, O.D., P.A.
Entity Type:Organization
Organization Name:NATALIYA A. WORSLEY, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIYA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WORSLEY, O.D., P.A.
Authorized Official - Suffix:
Authorized Official - Credentials:OD, PA
Authorized Official - Phone:954-647-2617
Mailing Address - Street 1:2551 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4818
Mailing Address - Country:US
Mailing Address - Phone:954-624-2165
Mailing Address - Fax:
Practice Address - Street 1:2551 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4818
Practice Address - Country:US
Practice Address - Phone:954-624-2165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 3752152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty