Healthcare Provider Details

I. General information

NPI: 1841033487
Provider Name (Legal Business Name): NATALIE VICTORIA FLIEGEL SIMONS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE VICTORIA FLIEGEL

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SOUTHLAKE PARK
HOOVER AL
35244-3616
US

IV. Provider business mailing address

2000 SOUTHLAKE PARK STE 100
HOOVER AL
35244-3614
US

V. Phone/Fax

Practice location:
  • Phone: 205-968-1160
  • Fax:
Mailing address:
  • Phone: 205-968-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number14028752-9934
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number14028752-9934
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: