MEDICARE: NATASHA HINDMAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OEG001892	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1886393	OTHER	PA	HIGHMARK BS

General Provider Information

NPI Number	:	1881742138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA HINDMAN O.D.

Provider Business Mailing Address
First Line	:	66 S PETRIE RD
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-3304
Country	:	US
Telephone Number	:	412-925-8093
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 BRANDT DR STE 201
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-6412
Country	:	US
Telephone Number	:	724-772-5420
Fax Number	:	724-772-5423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	01/03/2017

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