John J Novak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5565 T2479 Issued in OH

Practice address

36840 Detroit Rd
Avon, OH 44011-1570

Phone

(440) 934-1144

Fax

(440) 548-1026

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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 OH

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

Ohio State University - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avon Eye Design IncGroup PAC ID 9638305717, 2 clinicians

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.

• Avon Eye Design, Inc.

  • Optometrist
  • Avon, OH
  • NPI 1477993400
  Medicare reassignment Care Compare group NPD Authorized official
• North Ridgeville Eye Care Inc

  • Optometrist
  • North Ridgeville, OH
  • NPI 1427015932
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1891868543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36840 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111570",
            "telephone_number": "440-934-1144",
            "fax_number": "440-548-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36840 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111570",
            "telephone_number": "440-934-1144",
            "fax_number": "440-548-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7079 Avon Belden Rd",
            "address_purpose": "LOCATION",
            "city": "North Ridgeville",
            "state": "OH",
            "postal_code": "440393774",
            "country_code": "US",
            "telephone_number": "440-327-2020",
            "fax_number": "440-327-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5565 T2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Ohio Eye Surgeons Inc
• Northern Ohio Arthritis Center, Inc
• Northern Ohio Eye Consultants Inc
• Northern Ohio Eye Consultants, Inc
• Northern Ohio Eye Consultants, Inc.
• Tennie L Novak, LMT
• David A Novotny, M.D.
• Elayna A Nowak, DPT
• Alexia Ijeoma Nwankwo
• O'Brien Optics LLC

• Optometrist in Avon, OH
• Providers in Avon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.