Active NPI
Michael F. Novotny
- Eyewear Supplier
- Saint Marys, PA
National Provider Identifier
1326223157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- MICHAEL F. NOVOTNY
- Practice address
- 949 S Saint Marys St
Saint Marys, PA 15857-2830 - Phone
- (814) 834-1308
- Fax
- (814) 834-1406
- NPI assigned
- Dec 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cynthia A Decker
- Title
- Clerical
- Phone
- (814) 834-1308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
949 S Saint Marys St
Saint Marys, PA 15857-2830
Mailing address
949 S Saint Marys St
Saint Marys, PA 15857-2830
Phone (814) 834-1308
Other names 1
- Maranatha Optical
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1326223157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 S SAINT MARYS ST",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158572830",
"telephone_number": "814-834-1308",
"fax_number": "814-834-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 S SAINT MARYS ST",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158572830",
"telephone_number": "814-834-1308",
"fax_number": "814-834-1406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL F. NOVOTNY",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "DECKER",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CLERICAL",
"authorized_official_telephone_number": "814-834-1308",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maranatha Optical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Marys, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.