Active NPI
Daniel Joseph Novak, O.D.
- Optometrist
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NE1378
- 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
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 | 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
Enrollment records 1
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
Practice addresses (Care Compare)
3543 S 85TH St
Lincoln, NE 68520-1501
Phone (402) 986-7856
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NE1378 | NE | MD | Optometrist |
| 1378 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Novak OD PC | Optometrist | Current | Accepting new patients |
| John H McDougall OD PC | Optometrist | Current | Accepting new patients |
| John H McDougall OD PC | Optometrist | Current | 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.
-
- Optometrist
- Lincoln, NE
- NPI 1235729351
-
- Optometrist
- Beatrice, NE
- NPI 1154894608
-
- Optometrist
- Lincoln, NE
- NPI 1245791045
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.