Michael F. Novotny

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MICHAEL F. NOVOTNY

Doing business as

Maranatha Optical

Practice address

949 S Saint Marys St
Saint Marys, PA 15857-2830

Phone

(814) 834-1308

Fax

(814) 834-1406

NPI assigned

Jun 16, 2008

Last updated

Jul 16, 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

Mr. Denny Evans, OPTICIAN

Title

Manager

Phone

(814) 834-1308

Specialties & licenses 1

Addresses

Other names 1

• Maranatha Optical Doing business as

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1558521393",
    "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": "2008-06-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DENNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-834-1308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maranatha Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Gerard McKeown, MBBCH MCH
• Sarah Means, PA-C
• April Marie Meyer
• Hillary Meyer, CPHT
• Michael F. Novotny (Maranatha Optical)
• Marie C. Michelini, RD
• Matt Mignot, PHYSICAL THERAPIST
• Melody A Miller, CRNP
• Ryan Thomas Miller
• John Patrick Minard, RPH

• Durable Medical Equipment & Medical Supplies in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.