MEDICARE: NATALIE C BUTCHER 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	2684	OK

General Provider Information

NPI Number	:	1538447354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE C BUTCHER O.D.

Provider Business Mailing Address
First Line	:	13553 STATE ROAD
Second Line	:	NUM 303
City	:	ODESSA
State	:	FL
Zip	:	33556
Country	:	US
Telephone Number	:	813-540-7585
Fax Number	:

Provider Business Practice Location Address
First Line	:	2416 W BRANDON BLVD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-4717
Country	:	US
Telephone Number	:	813-684-7071
Fax Number	:

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

Provider Enumeration Date	:	07/27/2011
Last Update Date	:	10/31/2025

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