Active NPI
F Duane Kovarik, O.D.
- Optometrist
- Grand Island, NE
National Provider Identifier
1174610596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 840
- Practice address
- 3404 W. 13TH St.
Ste 105
Grand Island, NE 68803-2392 - Phone
- (308) 382-6928
- NPI assigned
- Oct 6, 2006
- Last updated
- Aug 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 840 | NE | Primary |
Addresses
Primary practice location
3404 W. 13TH St.
Ste 105
Grand Island, NE 68803-2392
Mailing address
402 Valley View Dr.
Ord, NE 68862-1651
Phone (308) 728-5778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 840 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1174610596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 VALLEY VIEW DR.",
"city": "ORD",
"state": "NE",
"postal_code": "688621651",
"telephone_number": "308-728-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 W. 13TH ST.",
"address_2": "STE 105",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688032392",
"telephone_number": "308-382-6928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVARIK",
"first_name": "F",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.