Jennifer Novak

Primary specialty

Optometric Assistant TechnicianTaxonomy code 156FX1201X

Practice address

2180 Troop Dr
Sartell, MN 56377-4582

Phone

(320) 258-3915

Fax

(320) 258-3917

NPI assigned

Sep 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1043099229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774582",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774582",
            "telephone_number": "320-258-3915",
            "fax_number": "320-258-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1201X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Star Therapy LTD
• Northway Academy, Inc.
• Novacare Outpatient Rehabilitation East Inc
• Novacare Outpatient Rehabilitation East, Inc.
• Jasmin Dakotalynn Novacinski
• Vicki Lynn Novak, PA
• Ashley Lynn Nuehring
• Julie Ann Nyland, D.D.S.
• James O'Bando
• Megan Lavon O'Leary

• Optometric Assistant Technician in Sartell, MN
• Providers in Sartell, MN by specialty
• Optometric Assistant Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.