Daniel R Novack Od LLC
Optometrist in Independence, MO. Organization (NPI-2).
NPI number1982146114
StatusActive
Last updated in NPPESDec 20, 2016
Details
- NPI
- 1982146114
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel R Novack Od LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2016
- Last updated
- Dec 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
19049 E Valley View PkwySte G
Independence, MO 64055-7026
Phone 816-478-0900 · Fax 816-478-4229
Mailing address
19049 E Valley View PkwySte G
Independence, MO 64055-7026
Phone 816-478-0900 · Fax 816-478-4229
Authorized official
Daniel R Novack
Owner
8164780900
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