Provider Demographics
NPI:1245853829
Name:MAIORCA, NATALIE (OD, MS)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:MAIORCA
Suffix:
Gender:F
Credentials:OD, MS
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:MONTECALVO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26927 DETROIT RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2370
Mailing Address - Country:US
Mailing Address - Phone:440-892-5367
Mailing Address - Fax:440-249-5094
Practice Address - Street 1:26927 DETROIT RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2370
Practice Address - Country:US
Practice Address - Phone:440-892-5367
Practice Address - Fax:440-249-5094
Is Sole Proprietor?:No
Enumeration Date:2020-05-18
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6853152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist