Provider Demographics
NPI:1669548426
Name:HANDY, NATASHA L (OD)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:L
Last Name:HANDY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:L
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2021 RICKOVER PL
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5486
Mailing Address - Country:US
Mailing Address - Phone:407-538-9557
Mailing Address - Fax:
Practice Address - Street 1:1150 E VINE ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-3579
Practice Address - Country:US
Practice Address - Phone:407-931-2012
Practice Address - Fax:407-982-7628
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-25
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4123152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist