Provider Demographics
NPI:1952614877
Name:NOBLE, NATALIE JANE (OD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:JANE
Last Name:NOBLE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 S PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3005
Mailing Address - Country:US
Mailing Address - Phone:724-837-1240
Mailing Address - Fax:
Practice Address - Street 1:124 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3005
Practice Address - Country:US
Practice Address - Phone:724-837-1240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002377152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010126080001Medicaid
PA35419OtherHEALTH AMERICA/HEALTH ASSURANCE
PA001617760OtherBLUE CROSS
PA3501749OtherAETNA
PA5620390OtherCIGNA
PA201215OtherUPMC
PA3501749OtherAETNA