Philip H Nowak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002922A Issued in IN

Practice address

410 Grand Valley Blvd
Martinsville, IN 46151-6123

Phone

(765) 352-0835

Fax

(765) 352-0881

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Philip H. Nowak, O.D., P.C.

  • Optometrist
  • Martinsville, IN
  • NPI 1376820795
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649387432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 GRAND VALLEY BLVD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461516123",
            "telephone_number": "765-352-0835",
            "fax_number": "765-352-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 GRAND VALLEY BLVD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461516123",
            "telephone_number": "765-352-0835",
            "fax_number": "765-352-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "PHILIP",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002922A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachell Ann Munas
• Christina Murphy, LCSW
• Nancy Nerad, LCAC
• Lori Ann Nesbit, MSW, LCSW
• Barbara Darlene Newell, APRN, BC, FNP
• Jason O'Connor, CPRS
• Michael Leonard O'Neal, O.D.
• Otolaryngology Associates LLC
• Monica Alise Palmore
• Arlene M. Parker, PMHNP-BC

• Optometrist in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.