Active NPI
Gregory James Novak, OD
- Optometrist
- Santa Barbara, CA
National Provider Identifier
1720110372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7300TPA
- Practice address
- 3845 State St
Santa Barbara, CA 93105-3111 - Phone
- (805) 682-3998
- NPI assigned
- Mar 9, 2007
- 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 | 7300TPA | CA | Primary |
Addresses
Primary practice location
3845 State St
Santa Barbara, CA 93105-3111
Mailing address
981 Via Campobello
Santa Barbara, CA 93111-1227
Phone (805) 692-9269
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 |
|---|---|---|---|
| 7300TPA | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720110372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 VIA CAMPOBELLO",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931111227",
"telephone_number": "805-692-9269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 STATE ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053111",
"telephone_number": "805-682-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "GREGORY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7300TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.