Healthcare Provider Details

I. General information

NPI: 1295628899
Provider Name (Legal Business Name): NATALIE LYN FICK OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 LOCUST ST
PITTSBURGH PA
15219-5924
US

IV. Provider business mailing address

8505 SEDONIA CIR
ESTERO FL
33967-0548
US

V. Phone/Fax

Practice location:
  • Phone: 412-438-2619
  • Fax:
Mailing address:
  • Phone: 724-561-8551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG004248
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: