Individual provider Active NPI

Daniel Joseph Novak, O.D.

  • Optometrist
  • Council Bluffs, IA
National Provider Identifier
1912268277
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NE1378 Issued in NE
Practice address
3201 Manawa Centre Dr
Council Bluffs, IA 51501-7672
Phone
(712) 366-5101
Fax
(712) 366-4048
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NE1378 NE Primary

Addresses

Primary practice location

3201 Manawa Centre Dr
Council Bluffs, IA 51501-7672

Mailing address

7930 O St
Lincoln, NE 68510-2500
Phone (402) 420-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20121101000298 NE Practitioner - Optometry 6204086051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Novak OD PCGroup PAC ID 8426466988, 2 clinicians

Practice addresses (Care Compare)

3543 S 85TH St
Lincoln, NE 68520-1501
Phone (402) 986-7856

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NE1378NEMDOptometrist
1378NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Novak OD PC Optometrist CurrentSince Apr 14, 2021 Accepting new patients
John H McDougall OD PC Optometrist CurrentSince May 1, 2019 Accepting new patients
John H McDougall OD PC Optometrist CurrentSince May 1, 2019 Accepting new patients

Locations

2005 Court St
Beatrice, NE 68310
Phone (402) 223-4098

2500 Northview Rd
Lincoln, NE 68521
Phone (402) 420-2020

7930 O St
Lincoln, NE 68510
Phone (402) 420-2020

2943 Pine Lake Rd
Lincoln, NE 68516
Phone (402) 420-2020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1912268277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 O ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102500",
            "telephone_number": "402-420-2020",
            "fax_number": "402-323-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 MANAWA CENTRE DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515017672",
            "telephone_number": "712-366-5101",
            "fax_number": "712-366-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "NE1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.