Novack Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02231 Issued in MO

Legal business name

NOVACK OPTOMETRY INC

Doing business as

Eastland Vision Ctr Dr William Novack Optometrist

Practice address

19049 East Valley View Pkwy
Suite G
Independence, MO 64055

Phone

(816) 478-0900

Fax

(816) 478-4229

NPI assigned

May 28, 2008

Last updated

May 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Novack, OD

Title

President

Phone

(816) 478-0900

Specialties & licenses 1

Addresses

Other names 1

• Eastland Vision Ctr Dr William Novack Optometrist Doing business as

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1437317369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19049 EAST VALLEY VIEW PKWY",
            "address_2": "SUITE G",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-478-0900",
            "fax_number": "816-478-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19049 EAST VALLEY VIEW PKWY",
            "address_2": "SUITE G",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-478-0900",
            "fax_number": "816-478-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACK OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-478-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastland Vision Ctr Dr William Novack Optometrist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Independence, MO
• Providers in Independence, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.