Daniel R Novack OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DANIEL R NOVACK OD LLC

Practice address

19049 E Valley View Pkwy
Ste G
Independence, MO 64055-7026

Phone

(816) 478-0900

Fax

(816) 478-4229

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Daniel R Novack, OD

Title

Owner

Phone

(816) 478-0900

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Novack, OD

  • Optometrist
  • Kansas City, MO
  • NPI 1104093756
  NPD (past)

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1982146114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19049 E VALLEY VIEW PKWY",
            "address_2": "STE G",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557026",
            "telephone_number": "816-478-0900",
            "fax_number": "816-478-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19049 E VALLEY VIEW PKWY",
            "address_2": "STE G",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557026",
            "telephone_number": "816-478-0900",
            "fax_number": "816-478-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R NOVACK OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "NOVACK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-478-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prema Fancy D Souza, MD
• Mattias Dino D'Anna, DO
• Karen A Dahdouh, PHARMD
• Psalm Nguyen Dang, MD
• Nika Dangelo
• Patricia Kathleen Danzo, RN BSN
• Thomas McClellan Darnall, D.D.S.
• Darrell W. Davis, D.D.S., P.C
• Selena Nicole Dattoli, APRN, FNP-C
• Patrick Daugherty

• Optometrist in Independence, MO
• Providers in Independence, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.