Novack Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NOVACK VISION CARE, LLC

Practice address

1166 W 103Rd St
Kansas City, MO 64114-4511

Phone

(816) 941-6886

Fax

(816) 941-8839

NPI assigned

Jun 11, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Novack, ODNPI 1740569656

Title

President

Phone

(816) 550-8019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Novack, O.D.

  • Optometrist
  • Richmond, MO
  • NPI 1740569656
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1013532464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 W 103RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144511",
            "telephone_number": "816-941-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 W 103RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144511",
            "telephone_number": "816-941-6886",
            "fax_number": "816-941-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACK VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-550-8019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Center Inc.
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• Nova Center Inc.
• Nova Home Health Care LLC
• Nova Home Infusion, LLC
• William Novack, OD
• Brooke Elizabeth Novak
• Carrie Novak
• Novamed Eye Surgery Center (Plaza), LLC
• Novira Medical Supplies LLC

• All providers in Kansas City, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.