Provider Demographics
NPI:1366791741
Name:FROLOVA, NATALYA (OD)
Entity type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:FROLOVA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 DEVEREUX CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2558
Mailing Address - Country:US
Mailing Address - Phone:205-702-6267
Mailing Address - Fax:205-879-0615
Practice Address - Street 1:2100 DEVEREUX CIR STE 100
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2558
Practice Address - Country:US
Practice Address - Phone:205-702-6267
Practice Address - Fax:205-879-0615
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-C79-TA-928152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist