Healthcare Provider Details

I. General information

NPI: 1023995701
Provider Name (Legal Business Name): NATALIE M OPALKA OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 08/16/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 HYDE PARK RD
LEECHBURG PA
15656-9417
US

IV. Provider business mailing address

451 HYDE PARK RD
LEECHBURG PA
15656-9417
US

V. Phone/Fax

Practice location:
  • Phone: 724-842-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG004295
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: