Provider Demographics
NPI:1265586309
Name:WIEAND, NATALIE ROSE (OD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ROSE
Last Name:WIEAND
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ROSE
Other - Last Name:MARKARIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:229 CROSSROADS BLVD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6893
Mailing Address - Country:US
Mailing Address - Phone:919-233-8500
Mailing Address - Fax:919-233-9783
Practice Address - Street 1:229 CROSSROADS BLVD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6893
Practice Address - Country:US
Practice Address - Phone:919-233-8500
Practice Address - Fax:919-233-9783
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1596152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist